How much rates vary
Facilitymedian $1,413 · 10th to 90th $589 to $9,550Professionalmedian $302 · 10th to 90th $251 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 $1,174.90 Median $6,606.93 Typical High $16,218.10 | Facility | None | $1,174.90 | $6,606.93 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $426.58 | Professional | None | $257.04 | $302.00 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $588.84 | Professional | None | $239.88 | $281.84 | $588.84 |
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 $288.40 Median $295.12 Typical High $537.03 | Professional | None | $288.40 | $295.12 | $537.03 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,862.09 Typical High $8,128.31 | Facility | None | $100.00 | $1,862.09 | $8,128.31 |
Blue Shield Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $389.05 | Professional | None | $213.80 | $302.00 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,466.84 Typical High $7,413.10 | Facility | None | $645.65 | $4,466.84 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $446.68 | Professional | None | $275.42 | $295.12 | $446.68 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $338.84 | Professional | None | $169.82 | $302.00 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $602.56 | Professional | None | $251.19 | $281.84 | $602.56 |
Lucent Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,818.38 | Professional | None | $2,238.72 | $2,238.72 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
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 $524.81 Median $4,168.69 Typical High $7,585.78 | Facility | None | $524.81 | $4,168.69 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $446.68 | Professional | None | $275.42 | $295.12 | $446.68 |
Sutter Health Plus Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
United Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $4,365.16 | Facility | None | $588.84 | $933.25 | $4,365.16 |
United Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $467.74 | Professional | None | $223.87 | $288.40 | $467.74 |
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 $131.83 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $208.93 Typical High $245.47 | Professional | 54 · Surgery only | $199.53 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $39.81 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.18 Typical High $32.36 | Professional | 56 · Pre-op care only | $26.30 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $186.21 | $194.98 | $229.09 |
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· 41st of 51
$309
AK $1,202UT $219
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.