How much rates vary
Facilitymedian $3,162 · 10th to 90th $631 to $47,863Professionalmedian $2,344 · 10th to 90th $1,514 to $12,303
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 $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $5,888.44 Typical High $16,982.44 | Facility | None | $1,047.13 | $5,888.44 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $6,918.31 | Professional | None | $1,513.56 | $2,454.71 | $6,918.31 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $3,090.30 Typical High $6,606.93 | Facility | None | $67.61 | $3,090.30 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,412.54 | $1,995.26 | $3,890.45 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,621.81 | $1,995.26 |
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 $912.01 Median $1,819.70 Typical High $2,137.96 | Professional | None | $912.01 | $1,819.70 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $4,786.30 | Professional | None | $1,621.81 | $2,041.74 | $4,786.30 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $14,791.08 | Professional | None | $12,302.69 | $12,302.69 | $14,791.08 |
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 $1,513.56 Median $1,905.46 Typical High $4,897.79 | Professional | None | $1,513.56 | $1,905.46 | $4,897.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
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 $1,479.11 Median $2,041.74 Typical High $5,495.41 | Professional | None | $1,479.11 | $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 $794.33 Median $831.76 Typical High $1,000.00 | Professional | 52 · Reduced service | $794.33 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $338.84 Typical High $398.11 | Professional | 53 · Discontinued | $316.23 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,258.93 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,174.90 | $1,258.93 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $251.19 Typical High $302.00 | Professional | 55 · Aftercare only | $234.42 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $165.96 Typical High $199.53 | Professional | 56 · Pre-op care only | $158.49 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,174.90 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,174.90 | $1,412.54 |
Where California sits
The same service costs 5.8 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
$2,344
AK $7,079TX $1,230
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.