How much rates vary
Facilitymedian $5,623 · 10th to 90th $631 to $151,356Professionalmedian $1,820 · 10th to 90th $1,072 to $5,495
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 $1,148.15 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,202.26 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,511.38 Typical High $17,782.79 | Facility | None | $4,897.79 | $8,511.38 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $4,786.30 | Professional | None | $1,548.82 | $1,995.26 | $4,786.30 |
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 $912.01 Median $1,288.25 Typical High $2,570.40 | Professional | None | $912.01 | $1,288.25 | $2,570.40 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,230.27 | $1,862.09 |
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 $3,388.44 | Professional | None | $1,148.15 | $1,380.38 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,230.27 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,951.21 | Professional | None | $1,000.00 | $1,288.25 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | None | $12,302.69 | $12,302.69 | $12,302.69 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $1,148.15 Median $1,318.26 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,318.26 | $3,388.44 |
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 $1,380.38 Typical High $3,630.78 | Professional | None | $1,023.29 | $1,380.38 | $3,630.78 |
2 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 54 · Surgery only Typical Low $831.76 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $831.76 | $912.01 | $1,047.13 |
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 8.3 times more in Maine than in Maryland. 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.
Physician feeFacility fee
ME $15,904MD $1,911
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.