How much rates vary
Facilitymedian $1,820 · 10th to 90th $525 to $10,965Professionalmedian $1,148 · 10th to 90th $776 to $3,981
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 $954.99 Median $8,128.31 Typical High $19,054.61 | Facility | None | $954.99 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,148.15 | Professional | None | $831.76 | $912.01 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $10,000.00 Typical High $18,620.87 | Facility | None | $3,715.35 | $10,000.00 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $3,235.94 | Professional | None | $851.14 | $1,202.26 | $3,235.94 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,137.96 Typical High $9,120.11 | Facility | None | $100.00 | $2,137.96 | $9,120.11 |
Blue Shield Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,819.70 | Professional | None | $645.65 | $933.25 | $1,819.70 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,949.84 | Professional | None | $691.83 | $1,047.13 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $2,691.53 | Facility | None | $724.44 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $2,344.23 | Professional | None | $851.14 | $954.99 | $2,344.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,318.26 | Professional | None | $741.31 | $870.96 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,949.84 | Professional | None | $660.69 | $851.14 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $1,096.48 Typical High $2,630.27 | Facility | None | $741.31 | $1,096.48 | $2,630.27 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Professional | None | $831.76 | $954.99 | $2,344.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $4,677.35 | Facility | None | $398.11 | $1,230.27 | $4,677.35 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $2,511.89 | Professional | None | $741.31 | $954.99 | $2,511.89 |
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 $398.11 Median $457.09 Typical High $478.63 | Professional | 52 · Reduced service | $398.11 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $181.97 Typical High $190.55 | Professional | 53 · Discontinued | $162.18 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $691.83 Typical High $724.44 | Professional | 54 · Surgery only | $602.56 | $691.83 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $138.04 Typical High $144.54 | Professional | 55 · Aftercare only | $120.23 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $91.20 Typical High $95.50 | Professional | 56 · Pre-op care only | $81.28 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $645.65 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $562.34 | $645.65 | $676.08 |
Where California sits
The same service costs 4.4 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· 20th of 51
$1,230
AK $3,020TX $692
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.