How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,000 to $19,498Professionalmedian $1,122 · 10th to 90th $912 to $9,333
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 $2,691.53 Median $8,912.51 Typical High $19,952.62 | Facility | None | $2,691.53 | $8,912.51 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,122.02 | Professional | None | $954.99 | $1,000.00 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $14,125.38 Typical High $21,379.62 | Facility | None | $7,585.78 | $14,125.38 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,122.02 | $1,905.46 |
Blue Shield Setting Facility Modifier None Typical Low $87.10 Median $1,659.59 Typical High $11,220.18 | Facility | None | $87.10 | $1,659.59 | $11,220.18 |
Blue Shield Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,230.27 | Professional | None | $707.95 | $1,000.00 | $1,230.27 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,288.25 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $10,232.93 Typical High $19,054.61 | Facility | None | $758.58 | $10,232.93 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,737.80 | Professional | None | $977.24 | $1,096.48 | $1,737.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,288.25 | Professional | None | $812.83 | $1,174.90 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,096.48 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $16,218.10 | Professional | None | $9,332.54 | $9,332.54 | $16,218.10 |
Molina Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $9,772.37 Typical High $19,054.61 | Facility | None | $831.76 | $9,772.37 | $19,054.61 |
Providence Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,659.59 | Professional | None | $977.24 | $1,096.48 | $1,659.59 |
Sutter Health Plus Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $7,585.78 Typical High $18,620.87 | Facility | None | $2,884.03 | $7,585.78 | $18,620.87 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,737.80 | Professional | None | $891.25 | $1,096.48 | $1,737.80 |
4 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 78 · Unplanned return to OR Typical Low $660.69 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $660.69 | $707.95 | $776.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $707.95 Typical High $1,348.96 | Professional | 62 · Two surgeons | $575.44 | $707.95 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $177.83 Typical High $346.74 | Professional | 80 · Assistant surgeon | $144.54 | $177.83 | $346.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $154.88 Typical High $302.00 | Professional | AS · PA/NP assist | $128.82 | $154.88 | $302.00 |
Where California sits
The same service costs 6.5 times more in Alaska than in West Virginia. 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 $17,292WV $2,643
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.