How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,072 to $13,804Professionalmedian $776 · 10th to 90th $363 to $3,890
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 $7,413.10 Typical High $17,782.79 | Facility | None | $2,398.83 | $7,413.10 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $616.60 | Professional | None | $416.87 | $416.87 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,760.83 Typical High $13,489.63 | Facility | None | $2,951.21 | $6,760.83 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,000.00 | Professional | None | $758.58 | $776.25 | $1,000.00 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,659.59 Typical High $7,585.78 | Facility | None | $100.00 | $1,659.59 | $7,585.78 |
Blue Shield Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $588.84 | Professional | None | $363.08 | $524.81 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $7,585.78 Typical High $13,182.57 | Facility | None | $1,445.44 | $7,585.78 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,230.27 | Professional | None | $562.34 | $776.25 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,413.10 | Professional | None | $7,079.46 | $7,079.46 | $7,413.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $741.31 | Professional | None | $302.00 | $338.84 | $741.31 |
Lucent Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,890.45 | $4,265.80 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Providence Setting Facility Modifier None Typical Low $1,148.15 Median $7,762.47 Typical High $14,125.38 | Facility | None | $1,148.15 | $7,762.47 | $14,125.38 |
Providence Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,202.26 | Professional | None | $562.34 | $707.95 | $1,202.26 |
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 $363.08 Median $549.54 Typical High $1,445.44 | Professional | None | $363.08 | $549.54 | $1,445.44 |
5 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 $309.03 Median $309.03 Typical High $416.87 | Professional | 54 · Surgery only | $309.03 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $380.19 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $218.78 Median $707.95 Typical High $954.99 | Professional | 62 · Two surgeons | $218.78 | $707.95 | $954.99 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $177.83 Typical High $239.88 | Professional | 80 · Assistant surgeon | $54.95 | $177.83 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $158.49 Typical High $213.80 | Professional | AS · PA/NP assist | $47.86 | $158.49 | $213.80 |
Where California sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 20th of 51
$776
AK $2,344HI $398
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.