How much rates vary
Facilitymedian $2,754 · 10th to 90th $617 to $10,965Professionalmedian $1,318 · 10th to 90th $316 to $7,079
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 $6,606.93 Typical High $15,848.93 | Facility | None | $1,258.93 | $6,606.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $1,071.52 Typical High $2,041.74 | Professional | None | $295.12 | $1,071.52 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,317.64 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,317.64 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $1,479.11 Typical High $4,677.35 | Professional | None | $398.11 | $1,479.11 | $4,677.35 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,000.00 Typical High $5,623.41 | Facility | None | $100.00 | $1,000.00 | $5,623.41 |
Blue Shield Setting Professional Modifier None Typical Low $263.03 Median $933.25 Typical High $1,949.84 | Professional | None | $263.03 | $933.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,454.71 Typical High $4,786.30 | Facility | None | $645.65 | $2,454.71 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $1,174.90 Typical High $2,570.40 | Professional | None | $309.03 | $1,174.90 | $2,570.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $2,344.23 | Professional | None | $338.84 | $426.58 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $1,548.82 Typical High $3,235.94 | Professional | None | $323.59 | $1,548.82 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $13,803.84 | Professional | None | $10,232.93 | $10,232.93 | $13,803.84 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,174.90 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $2,454.71 Typical High $5,370.32 | Facility | None | $549.54 | $2,454.71 | $5,370.32 |
Providence Setting Professional Modifier None Typical Low $309.03 Median $1,174.90 Typical High $2,570.40 | Professional | None | $309.03 | $1,174.90 | $2,570.40 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $5,011.87 | Professional | None | $1,071.52 | $1,071.52 | $5,011.87 |
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 $288.40 Median $1,230.27 Typical High $2,951.21 | Professional | None | $288.40 | $1,230.27 | $2,951.21 |
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 $147.91 Median $158.49 Typical High $676.08 | Facility | 52 · Reduced service | $147.91 | $158.49 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $63.10 Typical High $269.15 | Facility | 53 · Discontinued | $58.88 | $63.10 | $269.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $218.78 Median $234.42 Typical High $1,023.29 | Facility | 54 · Surgery only | $218.78 | $234.42 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $204.17 | Facility | 55 · Aftercare only | $43.65 | $46.77 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $31.62 Typical High $134.90 | Facility | 56 · Pre-op care only | $29.51 | $31.62 | $134.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $218.78 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $204.17 | $218.78 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $436.52 Typical High $676.08 | Professional | 52 · Reduced service | $138.04 | $436.52 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $173.78 Typical High $269.15 | Professional | 53 · Discontinued | $54.95 | $173.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $645.65 Typical High $1,023.29 | Professional | 54 · Surgery only | $208.93 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $128.82 Typical High $204.17 | Professional | 55 · Aftercare only | $41.69 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $87.10 Typical High $134.90 | Professional | 56 · Pre-op care only | $27.54 | $87.10 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $602.56 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $194.98 | $602.56 | $954.99 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $2,137.96 Typical High $5,128.61 | Professional | 50 · Both sides | $851.14 | $2,137.96 | $5,128.61 |
Where California sits
The same service costs 5.8 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· 28th of 51
$1,479
AK $3,548NE $617
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.