How much rates vary
Facilitymedian $5,248 · 10th to 90th $631 to $50,119Professionalmedian $2,344 · 10th to 90th $1,585 to $16,218
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 $1,584.89 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,584.89 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,445.44 | $1,513.56 | $3,090.30 |
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 $1,905.46 Median $2,238.72 Typical High $8,511.38 | Professional | None | $1,905.46 | $2,238.72 | $8,511.38 |
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 $1,230.27 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,230.27 | $1,778.28 | $3,548.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,548.82 | $2,187.76 | $2,511.89 |
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 $1,584.89 Median $2,344.23 Typical High $6,025.60 | Professional | None | $1,584.89 | $2,344.23 | $6,025.60 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $2,691.53 | Professional | None | $1,230.27 | $2,238.72 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $6,025.60 | Professional | None | $1,949.84 | $2,570.40 | $6,025.60 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $18,620.87 | Professional | None | $16,218.10 | $16,218.10 | $18,620.87 |
Molina Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
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 $1,584.89 Median $2,290.87 Typical High $6,025.60 | Professional | None | $1,584.89 | $2,290.87 | $6,025.60 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
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 $1,737.80 Median $2,454.71 Typical High $7,079.46 | Professional | None | $1,737.80 | $2,454.71 | $7,079.46 |
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 $707.95 Median $758.58 Typical High $1,318.26 | Professional | 52 · Reduced service | $707.95 | $758.58 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $302.00 Typical High $524.81 | Professional | 53 · Discontinued | $288.40 | $302.00 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,148.15 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,071.52 | $1,148.15 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $229.09 Typical High $389.05 | Professional | 55 · Aftercare only | $213.80 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $151.36 Typical High $263.03 | Professional | 56 · Pre-op care only | $144.54 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,071.52 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,071.52 | $1,819.70 |
Where California sits
The same service costs 6.2 times more in Alaska than in Delaware. 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· 31st of 51
$2,630
AK $9,333DE $1,514
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.