How much rates vary
Facilitymedian $5,248 · 10th to 90th $603 to $151,356Professionalmedian $4,571 · 10th to 90th $3,090 to $23,988
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 $3,311.31 Median $8,128.31 Typical High $19,054.61 | Facility | None | $3,311.31 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $4,168.69 | Professional | None | $3,090.30 | $3,388.44 | $4,168.69 |
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 $4,073.80 Median $5,011.87 Typical High $13,182.57 | Professional | None | $4,073.80 | $5,011.87 | $13,182.57 |
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 $2,630.27 Median $3,715.35 Typical High $7,244.36 | Professional | None | $2,630.27 | $3,715.35 | $7,244.36 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,897.79 | Professional | None | $2,884.03 | $3,715.35 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $10,000.00 | Facility | None | $660.69 | $1,348.96 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $10,000.00 | Professional | None | $3,311.31 | $3,890.45 | $10,000.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $4,365.16 | Professional | None | $2,884.03 | $3,630.78 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $8,912.51 | Professional | None | $2,884.03 | $3,801.89 | $8,912.51 |
Lucent Health Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $28,183.83 | Professional | None | $23,988.33 | $23,988.33 | $28,183.83 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $151,356.12 Typical High $251,188.64 | Facility | None | $812.83 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $10,000.00 | Professional | None | $3,162.28 | $3,890.45 | $10,000.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | None | $10,964.78 | $10,964.78 | $10,964.78 |
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 $2,951.21 Median $4,073.80 Typical High $10,471.29 | Professional | None | $2,951.21 | $4,073.80 | $10,471.29 |
4 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 $1,548.82 Median $1,659.59 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,548.82 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $660.69 Typical High $776.25 | Professional | 53 · Discontinued | $616.60 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,454.71 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,344.23 | $2,454.71 | $3,090.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,290.87 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,290.87 | $2,754.23 |
Where California sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 26th of 51
$4,571
AK $13,804AR $1,820
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.