How much rates vary
Facilitymedian $2,884 · 10th to 90th $617 to $11,220Professionalmedian $1,318 · 10th to 90th $363 to $5,754
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 $1,318.26 Median $6,606.93 Typical High $15,848.93 | Facility | None | $1,318.26 | $6,606.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,148.15 Typical High $2,454.71 | Professional | None | $346.74 | $1,148.15 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $14,125.38 | Facility | None | $2,884.03 | $6,606.93 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $1,445.44 Typical High $4,265.80 | Professional | None | $457.09 | $1,445.44 | $4,265.80 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,000.00 Typical High $9,772.37 | Facility | None | $100.00 | $1,000.00 | $9,772.37 |
Blue Shield Setting Professional Modifier None Typical Low $309.03 Median $933.25 Typical High $1,949.84 | Professional | None | $309.03 | $933.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,511.89 Typical High $4,897.79 | Facility | None | $645.65 | $2,511.89 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,047.13 Typical High $2,238.72 | Professional | None | $354.81 | $1,047.13 | $2,238.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $2,137.96 | Professional | None | $263.03 | $436.52 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $1,288.25 Typical High $2,691.53 | Professional | None | $371.54 | $1,288.25 | $2,691.53 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $11,748.98 | Professional | None | $8,317.64 | $8,317.64 | $11,748.98 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,000.00 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $2,511.89 Typical High $5,754.40 | Facility | None | $549.54 | $2,511.89 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $1,047.13 Typical High $2,187.76 | Professional | None | $354.81 | $1,047.13 | $2,187.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $4,365.16 | Professional | None | $1,230.27 | $1,230.27 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $331.13 Median $1,122.02 Typical High $2,691.53 | Professional | None | $331.13 | $1,122.02 | $2,691.53 |
13 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 Facility Modifier 52 · Reduced service Typical Low $173.78 Median $186.21 Typical High $758.58 | Facility | 52 · Reduced service | $173.78 | $186.21 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $74.13 Typical High $302.00 | Facility | 53 · Discontinued | $69.18 | $74.13 | $302.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $275.42 Typical High $1,122.02 | Facility | 54 · Surgery only | $263.03 | $275.42 | $1,122.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $56.23 Typical High $223.87 | Facility | 55 · Aftercare only | $52.48 | $56.23 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $37.15 Typical High $151.36 | Facility | 56 · Pre-op care only | $34.67 | $37.15 | $151.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $257.04 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $245.47 | $257.04 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $389.05 Typical High $758.58 | Professional | 52 · Reduced service | $162.18 | $389.05 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $154.88 Typical High $302.00 | Professional | 53 · Discontinued | $66.07 | $154.88 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $575.44 Typical High $1,122.02 | Professional | 54 · Surgery only | $245.47 | $575.44 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $114.82 Typical High $223.87 | Professional | 55 · Aftercare only | $48.98 | $114.82 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $77.62 Typical High $151.36 | Professional | 56 · Pre-op care only | $33.11 | $77.62 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $537.03 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $229.09 | $537.03 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,949.84 Typical High $4,677.35 | Professional | 50 · Both sides | $1,000.00 | $1,949.84 | $4,677.35 |
Where California sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 19th of 51
$1,445
AK $3,020NE $692
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.