How much rates vary
Facilitymedian $4,677 · 10th to 90th $871 to $14,125Professionalmedian $832 · 10th to 90th $661 to $5,754
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 $2,570.40 Median $8,912.51 Typical High $19,054.61 | Facility | None | $2,570.40 | $8,912.51 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $851.14 | Professional | None | $707.95 | $741.31 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $11,481.54 Typical High $20,417.38 | Facility | None | $5,888.44 | $11,481.54 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,479.11 | Professional | None | $794.33 | $831.76 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $1,412.54 Typical High $10,232.93 | Facility | None | $97.72 | $1,412.54 | $10,232.93 |
Blue Shield Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,023.29 | Professional | None | $575.44 | $831.76 | $1,023.29 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,047.13 | Professional | None | $741.31 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,466.84 Typical High $9,120.11 | Facility | None | $758.58 | $4,466.84 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,230.27 | Professional | None | $741.31 | $794.33 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $891.25 | Professional | None | $588.84 | $812.83 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,621.81 | Professional | None | $676.08 | $741.31 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $6,165.95 Typical High $6,165.95 | Professional | None | $5,754.40 | $6,165.95 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $758.58 Median $4,265.80 Typical High $8,912.51 | Facility | None | $758.58 | $4,265.80 | $8,912.51 |
Providence Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,230.27 | Professional | None | $741.31 | $794.33 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $616.60 Median $794.33 Typical High $1,230.27 | Professional | None | $616.60 | $794.33 | $1,230.27 |
9 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 $354.81 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $354.81 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $141.25 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $630.96 | Professional | 54 · Surgery only | $524.81 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $588.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $489.78 Typical High $933.25 | Professional | 62 · Two surgeons | $398.11 | $489.78 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $125.89 Typical High $234.42 | Professional | 80 · Assistant surgeon | $100.00 | $125.89 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $109.65 Typical High $204.17 | Professional | AS · PA/NP assist | $89.13 | $109.65 | $204.17 |
Where California sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $9,771KY $2,053
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.