How much rates vary
Facilitymedian $4,571 · 10th to 90th $891 to $11,220Professionalmedian $661 · 10th to 90th $525 to $4,786
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 $575.44 Median $616.60 Typical High $724.44 | Professional | None | $575.44 | $616.60 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,137.96 | $5,128.61 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $1,071.52 | Professional | None | $575.44 | $630.96 | $1,071.52 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,187.76 Typical High $8,709.64 | Facility | None | $100.00 | $2,187.76 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $741.31 | Professional | None | $407.38 | $575.44 | $741.31 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $870.96 | Professional | None | $645.65 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,623.41 Typical High $9,549.93 | Facility | None | $707.95 | $5,623.41 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,071.52 | Professional | None | $602.56 | $660.69 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $436.52 Median $776.25 Typical High $851.14 | Professional | None | $436.52 | $776.25 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,445.44 | Professional | None | $616.60 | $691.83 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $5,370.32 | Professional | None | $4,786.30 | $5,370.32 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $5,248.07 Typical High $9,332.54 | Facility | None | $758.58 | $5,248.07 | $9,332.54 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,047.13 | Professional | None | $602.56 | $660.69 | $1,047.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,754.40 | $17,378.01 |
United Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $1,096.48 | Professional | None | $512.86 | $645.65 | $1,096.48 |
2 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 54 · Surgery only Typical Low $426.58 Median $457.09 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $426.58 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $398.11 | $426.58 | $512.86 |
Where California sits
The same service costs 24.0 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· 41st of 51
$661
AK $2,692TX $112
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.