How much rates vary
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 $1,737.80 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,737.80 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,548.82 | $1,659.59 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $11,748.98 Typical High $20,417.38 | Facility | None | $5,888.44 | $11,748.98 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $6,760.83 | Professional | None | $2,290.87 | $2,754.23 | $6,760.83 |
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 $1,380.38 Median $1,995.26 Typical High $3,801.89 | Professional | None | $1,380.38 | $1,995.26 | $3,801.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,513.56 | $1,862.09 | $2,818.38 |
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 $1,621.81 Median $1,949.84 Typical High $4,897.79 | Professional | None | $1,621.81 | $1,949.84 | $4,897.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,862.09 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $4,466.84 | Professional | None | $1,513.56 | $1,905.46 | $4,466.84 |
Lucent Health Setting Professional Modifier None Typical Low $15,488.17 Median $21,379.62 Typical High $21,379.62 | Professional | None | $15,488.17 | $21,379.62 | $21,379.62 |
Molina Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $1,584.89 Median $1,862.09 Typical High $4,897.79 | Professional | None | $1,584.89 | $1,862.09 | $4,897.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
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 $1,412.54 Median $1,949.84 Typical High $5,128.61 | Professional | None | $1,412.54 | $1,949.84 | $5,128.61 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,174.90 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,174.90 | $1,348.96 |
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· 17th of 51
$2,570
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.