How much rates vary
Facilitymedian $1,995 · 10th to 90th $589 to $8,511Professionalmedian $324 · 10th to 90th $263 to $2,399
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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $338.84 | Professional | None | $275.42 | $295.12 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $8,511.38 Typical High $16,595.87 | Facility | None | $4,466.84 | $8,511.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $537.03 | Professional | None | $316.23 | $316.23 | $537.03 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,659.59 Typical High $5,011.87 | Facility | None | $100.00 | $1,659.59 | $5,011.87 |
Blue Shield Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $346.74 | Professional | None | $190.55 | $275.42 | $346.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $436.52 | Professional | None | $331.13 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,659.59 Typical High $3,388.44 | Facility | None | $549.54 | $1,659.59 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $512.86 | Professional | None | $275.42 | $331.13 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $426.58 | Professional | None | $223.87 | $389.05 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $758.58 | Professional | None | $323.59 | $363.08 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $1,698.24 Typical High $3,890.45 | Facility | None | $426.58 | $1,698.24 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $501.19 | Professional | None | $269.15 | $331.13 | $501.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $524.81 | Professional | None | $257.04 | $316.23 | $524.81 |
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 $194.98 Median $208.93 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $194.98 | $208.93 | $234.42 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $165.96 Median $204.17 Typical High $380.19 | Professional | 62 · Two surgeons | $165.96 | $204.17 | $380.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $50.12 Typical High $107.15 | Professional | 80 · Assistant surgeon | $42.66 | $50.12 | $107.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $44.67 Typical High $85.11 | Professional | AS · PA/NP assist | $37.15 | $44.67 | $85.11 |
Where California sits
The same service costs 5.2 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· 44th of 51
$324
AK $1,380UT $263
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.