How much rates vary
Facilitymedian $5,012 · 10th to 90th $603 to $151,356Professionalmedian $2,344 · 10th to 90th $1,660 to $8,511
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 $1,819.70 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,819.70 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,621.81 | $1,698.24 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $15,848.93 Typical High $29,512.09 | Facility | None | $7,585.78 | $15,848.93 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $7,244.36 | Professional | None | $2,344.23 | $2,754.23 | $7,244.36 |
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 $1,548.82 Median $2,238.72 Typical High $4,365.16 | Professional | None | $1,548.82 | $2,238.72 | $4,365.16 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,089.30 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $10,000.00 | Facility | None | $660.69 | $1,445.44 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $5,128.61 | Professional | None | $1,737.80 | $2,089.30 | $5,128.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,041.74 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $5,011.87 | Professional | None | $1,659.59 | $2,089.30 | $5,011.87 |
Lucent Health Setting Professional Modifier None Typical Low $24,547.09 Median $24,547.09 Typical High $24,547.09 | Professional | None | $24,547.09 | $24,547.09 | $24,547.09 |
Molina Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $1,698.24 Median $1,995.26 Typical High $5,248.07 | Professional | None | $1,698.24 | $1,995.26 | $5,248.07 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $5,623.41 | Professional | None | $1,548.82 | $2,089.30 | $5,623.41 |
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 $812.83 Median $851.14 Typical High $1,047.13 | Professional | 52 · Reduced service | $812.83 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $323.59 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,288.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,202.26 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $257.04 Typical High $316.23 | Professional | 55 · Aftercare only | $245.47 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $169.82 Typical High $208.93 | Professional | 56 · Pre-op care only | $162.18 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,202.26 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,202.26 | $1,445.44 |
Where California sits
The same service costs 6.3 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· 29th of 51
$2,455
AK $7,413TX $1,175
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.