How much rates vary
Facilitymedian $5,012 · 10th to 90th $603 to $151,356Professionalmedian $2,399 · 10th to 90th $1,622 to $22,909
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 $1,737.80 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,737.80 | $1,819.70 | $2,570.40 |
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 $7,079.46 | Professional | None | $2,344.23 | $2,754.23 | $7,079.46 |
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 $1,513.56 Median $2,137.96 Typical High $4,168.69 | Professional | None | $1,513.56 | $2,137.96 | $4,168.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,621.81 | $1,995.26 | $3,090.30 |
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 $1,698.24 Median $2,041.74 Typical High $5,011.87 | Professional | None | $1,698.24 | $2,041.74 | $5,011.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,621.81 | $1,949.84 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $5,011.87 | Professional | None | $1,621.81 | $2,041.74 | $5,011.87 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $23,988.33 Typical High $23,988.33 | Professional | None | $22,908.68 | $23,988.33 | $23,988.33 |
Molina Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
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 $1,949.84 Typical High $5,011.87 | Professional | None | $1,698.24 | $1,949.84 | $5,011.87 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
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 $1,513.56 Median $2,041.74 Typical High $5,495.41 | Professional | None | $1,513.56 | $2,041.74 | $5,495.41 |
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 $870.96 Typical High $1,023.29 | Professional | 52 · Reduced service | $812.83 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $407.38 | Professional | 53 · Discontinued | $323.59 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,318.26 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,230.27 | $1,318.26 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $263.03 Typical High $302.00 | Professional | 55 · Aftercare only | $245.47 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | 56 · Pre-op care only | $162.18 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,230.27 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,230.27 | $1,412.54 |
Where California sits
The same service costs 5.6 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· 28th of 51
$2,512
AK $7,244TX $1,288
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.