How much rates vary
Facilitymedian $5,012 · 10th to 90th $603 to $151,356Professionalmedian $1,585 · 10th to 90th $1,148 to $12,023
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 $1,258.93 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,258.93 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,230.27 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $16,595.87 Typical High $29,512.09 | Facility | None | $7,762.47 | $16,595.87 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $4,897.79 | Professional | None | $1,584.89 | $1,862.09 | $4,897.79 |
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 $1,000.00 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,412.54 | $2,754.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,479.11 | $2,818.38 |
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 $1,148.15 Median $1,380.38 Typical High $3,467.37 | Professional | None | $1,148.15 | $1,380.38 | $3,467.37 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,479.11 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $3,548.13 | Professional | None | $1,148.15 | $1,445.44 | $3,548.13 |
Lucent Health Setting Professional Modifier None Typical Low $12,022.64 Median $13,489.63 Typical High $13,489.63 | Professional | None | $12,022.64 | $13,489.63 | $13,489.63 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $1,122.02 Median $1,318.26 Typical High $3,548.13 | Professional | None | $1,122.02 | $1,318.26 | $3,548.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
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 $1,023.29 Median $1,445.44 Typical High $3,801.89 | Professional | None | $1,023.29 | $1,445.44 | $3,801.89 |
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 $575.44 Median $616.60 Typical High $691.83 | Professional | 52 · Reduced service | $575.44 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $245.47 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $851.14 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $181.97 Typical High $208.93 | Professional | 55 · Aftercare only | $169.82 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $123.03 Typical High $138.04 | Professional | 56 · Pre-op care only | $114.82 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $851.14 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $794.33 | $851.14 | $977.24 |
Where California sits
The same service costs 5.4 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· 27th of 51
$1,738
AK $5,012TX $933
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.