How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,000 to $13,490Professionalmedian $871 · 10th to 90th $692 to $2,692
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 $724.44 Median $776.25 Typical High $891.25 | Professional | None | $724.44 | $776.25 | $891.25 |
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 $776.25 Median $870.96 Typical High $1,479.11 | Professional | None | $776.25 | $870.96 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $100.00 | $2,290.87 | $10,232.93 |
Blue Shield Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,122.02 | Professional | None | $645.65 | $912.01 | $1,122.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | None | $758.58 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,466.84 Typical High $8,912.51 | Facility | None | $758.58 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,288.25 | Professional | None | $812.83 | $870.96 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,000.00 | Professional | None | $831.76 | $912.01 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,621.81 | Professional | None | $691.83 | $758.58 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None | $7,244.36 | $7,244.36 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $794.33 Median $4,265.80 Typical High $10,000.00 | Facility | None | $794.33 | $4,265.80 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,288.25 | Professional | None | $812.83 | $870.96 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $645.65 Median $831.76 Typical High $1,348.96 | Professional | None | $645.65 | $831.76 | $1,348.96 |
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 $363.08 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $177.83 | Professional | 53 · Discontinued | $147.91 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $660.69 | Professional | 54 · Surgery only | $549.54 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $131.83 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $89.13 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $616.60 |
Where California sits
The same service costs 6.5 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· 37th of 51
$891
AK $3,311TX $513
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.