How much rates vary
Facilitymedian $1,514 · 10th to 90th $646 to $41,687Professionalmedian $1,820 · 10th to 90th $1,230 to $10,000
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,348.96 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,288.25 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $13,803.84 Typical High $25,118.86 | Facility | None | $7,244.36 | $13,803.84 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $5,248.07 | Professional | None | $1,778.28 | $2,089.30 | $5,248.07 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,621.81 | $3,162.28 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,479.11 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $3,801.89 | Professional | None | $1,318.26 | $1,548.82 | $3,801.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,479.11 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,548.13 | Professional | None | $1,202.26 | $1,513.56 | $3,548.13 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,964.78 | Professional | None | $10,000.00 | $10,000.00 | $10,964.78 |
Molina Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $3,801.89 | Professional | None | $1,318.26 | $1,479.11 | $3,801.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $6,918.31 | Facility | None | $630.96 | $758.58 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $4,073.80 | Professional | None | $1,122.02 | $1,513.56 | $4,073.80 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $602.56 | $645.65 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $263.03 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $977.24 Typical High $1,122.02 | Professional | 54 · Surgery only | $912.01 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $194.98 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $123.03 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $912.01 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $912.01 | $1,047.13 |
Where California sits
The same service costs 5.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 32nd of 51
$1,778
AK $5,370TX $912
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.