How much rates vary
Facilitymedian $2,399 · 10th to 90th $724 to $8,913Professionalmedian $537 · 10th to 90th $389 to $3,548
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $794.33 | Professional | None | $426.58 | $457.09 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,819.70 | Professional | None | $389.05 | $562.34 | $1,819.70 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,737.80 Typical High $6,606.93 | Facility | None | $100.00 | $1,737.80 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $1,202.26 | Professional | None | $338.84 | $489.78 | $1,202.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $275.42 Median $512.86 Typical High $630.96 | Professional | None | $275.42 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,905.46 Typical High $3,801.89 | Facility | None | $562.34 | $1,905.46 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,288.25 | Professional | None | $426.58 | $501.19 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $213.80 Median $562.34 Typical High $741.31 | Professional | None | $213.80 | $562.34 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,288.25 | Professional | None | $489.78 | $630.96 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,265.80 | Professional | None | $3,548.13 | $3,548.13 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $1,905.46 Typical High $4,365.16 | Facility | None | $537.03 | $1,905.46 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,288.25 | Professional | None | $426.58 | $501.19 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $1,445.44 | Professional | None | $371.54 | $524.81 | $1,445.44 |
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 $213.80 Median $213.80 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $323.59 |
Where California sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 27th of 51
$724
AK $2,042UT $372
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.