How much rates vary
Facilitymedian $5,248 · 10th to 90th $631 to $50,119Professionalmedian $1,820 · 10th to 90th $1,148 to $5,888
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 $1,445.44 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,445.44 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,412.54 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,709.64 Typical High $18,197.01 | Facility | None | $4,897.79 | $8,709.64 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $5,128.61 | Professional | None | $1,288.25 | $1,905.46 | $5,128.61 |
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 $1,148.15 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,621.81 | $3,162.28 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,348.96 | Professional | None | $912.01 | $1,258.93 | $1,348.96 |
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 $1,288.25 Median $1,513.56 Typical High $3,630.78 | Professional | None | $1,288.25 | $1,513.56 | $3,630.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $707.95 Median $1,202.26 Typical High $1,445.44 | Professional | None | $707.95 | $1,202.26 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $3,235.94 | Professional | None | $1,096.48 | $1,412.54 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | None | $13,182.57 | $13,182.57 | $13,182.57 |
Molina Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $1,230.27 Median $1,479.11 Typical High $3,630.78 | Professional | None | $1,230.27 | $1,479.11 | $3,630.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
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 $1,096.48 Median $1,513.56 Typical High $3,890.45 | Professional | None | $1,096.48 | $1,513.56 | $3,890.45 |
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 $645.65 Median $707.95 Typical High $741.31 | Professional | 52 · Reduced service | $645.65 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $257.04 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,047.13 Typical High $1,122.02 | Professional | 54 · Surgery only | $954.99 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $208.93 Typical High $223.87 | Professional | 55 · Aftercare only | $190.55 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $141.25 Typical High $147.91 | Professional | 56 · Pre-op care only | $128.82 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $977.24 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $891.25 | $977.24 | $1,047.13 |
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· 21st of 51
$1,905
AK $5,248TX $933
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.