How much rates vary
Facilitymedian $3,890 · 10th to 90th $912 to $12,589Professionalmedian $617 · 10th to 90th $427 to $2,399
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 $2,238.72 Median $7,585.78 Typical High $18,197.01 | Facility | None | $2,238.72 | $7,585.78 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $5,370.32 | Professional | None | $436.52 | $467.74 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $10,232.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,862.09 | Professional | None | $549.54 | $676.08 | $1,862.09 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,137.96 Typical High $9,549.93 | Facility | None | $100.00 | $2,137.96 | $9,549.93 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,047.13 | Professional | None | $380.19 | $537.03 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,174.90 | Professional | None | $489.78 | $616.60 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $6,760.83 | Facility | None | $758.58 | $3,467.37 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $1,288.25 | Professional | None | $467.74 | $537.03 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $776.25 | Professional | None | $537.03 | $616.60 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $1,412.54 | Professional | None | $467.74 | $588.84 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $3,388.44 Typical High $7,762.47 | Facility | None | $676.08 | $3,388.44 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $1,288.25 | Professional | None | $467.74 | $524.81 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $398.11 Median $562.34 Typical High $1,513.56 | Professional | None | $398.11 | $562.34 | $1,513.56 |
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 $218.78 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | 53 · Discontinued | $87.10 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $354.81 Typical High $407.38 | Professional | 54 · Surgery only | $331.13 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $81.28 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $54.95 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $309.03 | $331.13 | $380.19 |
Where California sits
The same service costs 5.4 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· 15th of 51
$1,096
AK $2,630TX $490
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.