How much rates vary
Facilitymedian $2,754 · 10th to 90th $955 to $25,119Professionalmedian $1,698 · 10th to 90th $1,202 to $10,471
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 $8,128.31 Typical High $19,054.61 | Facility | None | $1,318.26 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,258.93 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $6,165.95 Typical High $17,782.79 | Facility | None | $1,047.13 | $6,165.95 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $5,128.61 | Professional | None | $1,318.26 | $1,862.09 | $5,128.61 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $1,995.26 Typical High $5,754.40 | Facility | None | $95.50 | $1,995.26 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,412.54 | $2,818.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,288.25 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $10,000.00 | Facility | None | $660.69 | $1,348.96 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $3,715.35 | Professional | None | $1,288.25 | $1,513.56 | $3,715.35 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,548.82 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,584.89 | $3,801.89 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $11,481.54 | Professional | None | $10,471.29 | $10,471.29 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $1,288.25 Median $1,445.44 Typical High $3,801.89 | Professional | None | $1,288.25 | $1,445.44 | $3,801.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,019.95 Typical High $11,220.18 | Facility | None | $1,230.27 | $3,019.95 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $4,365.16 | Professional | None | $1,148.15 | $1,584.89 | $4,365.16 |
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 $588.84 Median $630.96 Typical High $794.33 | Professional | 52 · Reduced service | $588.84 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $251.19 Typical High $316.23 | Professional | 53 · Discontinued | $234.42 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $933.25 Typical High $1,174.90 | Professional | 54 · Surgery only | $891.25 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $190.55 Typical High $239.88 | Professional | 55 · Aftercare only | $177.83 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $125.89 Typical High $158.49 | Professional | 56 · Pre-op care only | $117.49 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $870.96 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $1,096.48 |
Where California sits
The same service costs 5.2 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· 29th of 51
$1,905
AK $5,623TX $1,072
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.