How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,202 to $15,849Professionalmedian $741 · 10th to 90th $603 to $2,239
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 $2,398.83 Median $9,120.11 Typical High $21,379.62 | Facility | None | $2,398.83 | $9,120.11 | $21,379.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,071.52 | Professional | None | $645.65 | $741.31 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $11,481.54 Typical High $21,379.62 | Facility | None | $6,025.60 | $11,481.54 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,318.26 | Professional | None | $691.83 | $691.83 | $1,318.26 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,290.87 Typical High $14,125.38 | Facility | None | $100.00 | $2,290.87 | $14,125.38 |
Blue Shield Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $954.99 | Professional | None | $537.03 | $776.25 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,047.13 | Professional | None | $758.58 | $851.14 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,122.02 | $4,570.88 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,148.15 | Professional | None | $691.83 | $741.31 | $1,148.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $851.14 | Professional | None | $602.56 | $776.25 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,548.82 | Professional | None | $630.96 | $691.83 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $4,677.35 Typical High $10,471.29 | Facility | None | $977.24 | $4,677.35 | $10,471.29 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,122.02 | Professional | None | $676.08 | $741.31 | $1,122.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $562.34 Median $707.95 Typical High $1,174.90 | Professional | None | $562.34 | $707.95 | $1,174.90 |
8 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 $323.59 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $512.86 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $102.33 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $478.63 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $478.63 | $562.34 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $117.49 Typical High $213.80 | Professional | 80 · Assistant surgeon | $93.33 | $117.49 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $102.33 Typical High $190.55 | Professional | AS · PA/NP assist | $83.18 | $102.33 | $190.55 |
Where California sits
The same service costs 6.3 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· 42nd of 51
$741
AK $2,884TX $457
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.