How much rates vary
Facilitymedian $5,623 · 10th to 90th $631 to $151,356Professionalmedian $3,020 · 10th to 90th $1,905 to $9,550
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 $2,238.72 Median $8,128.31 Typical High $19,054.61 | Facility | None | $2,238.72 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,398.83 | Professional | None | $1,949.84 | $2,187.76 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $9,120.11 Typical High $18,620.87 | Facility | None | $4,897.79 | $9,120.11 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $8,511.38 | Professional | None | $2,290.87 | $3,162.28 | $8,511.38 |
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 $1,659.59 Median $2,398.83 Typical High $4,677.35 | Professional | None | $1,659.59 | $2,398.83 | $4,677.35 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,187.76 | $3,388.44 |
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 $2,041.74 Median $2,511.89 Typical High $6,165.95 | Professional | None | $2,041.74 | $2,511.89 | $6,165.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,187.76 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $5,370.32 | Professional | None | $1,778.28 | $2,344.23 | $5,370.32 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Professional | None | $22,908.68 | $22,908.68 | $22,908.68 |
Molina Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
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 $2,041.74 Median $2,398.83 Typical High $6,165.95 | Professional | None | $2,041.74 | $2,398.83 | $6,165.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
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 $1,819.70 Median $2,511.89 Typical High $6,456.54 | Professional | None | $1,819.70 | $2,511.89 | $6,456.54 |
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 $1,479.11 Median $1,621.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $1,737.80 |
Where California sits
The same service costs 6.3 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· 26th of 51
$3,020
AK $8,710TX $1,380
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.