How much rates vary
Facilitymedian $5,248 · 10th to 90th $631 to $50,119Professionalmedian $1,698 · 10th to 90th $1,122 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 $1,380.38 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,380.38 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,348.96 | $1,737.80 |
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 $1,318.26 Median $1,819.70 Typical High $4,897.79 | Professional | None | $1,318.26 | $1,819.70 | $4,897.79 |
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 $1,047.13 Median $1,479.11 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,479.11 | $2,884.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $10,000.00 | Facility | None | $660.69 | $1,258.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $3,388.44 | Professional | None | $1,230.27 | $1,412.54 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,258.93 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $3,090.30 | Professional | None | $1,023.29 | $1,348.96 | $3,090.30 |
Lucent Health Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None | $15,135.61 | $15,135.61 | $15,135.61 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $151,356.12 Typical High $251,188.64 | Facility | None | $812.83 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,380.38 | $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 $1,047.13 Median $1,412.54 Typical High $3,715.35 | Professional | None | $1,047.13 | $1,412.54 | $3,715.35 |
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 $602.56 Median $660.69 Typical High $707.95 | Professional | 52 · Reduced service | $602.56 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $269.15 Typical High $281.84 | Professional | 53 · Discontinued | $239.88 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,000.00 Typical High $1,047.13 | Professional | 54 · Surgery only | $912.01 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $199.53 Typical High $213.80 | Professional | 55 · Aftercare only | $181.97 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $120.23 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $933.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $851.14 | $933.25 | $977.24 |
Where California sits
The same service costs 5.5 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
$1,820
AK $4,898TX $891
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.