How much rates vary
Facilitymedian $5,754 · 10th to 90th $617 to $151,356Professionalmedian $1,380 · 10th to 90th $813 to $7,943
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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Professional | None | $851.14 | $851.14 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $9,120.11 Typical High $19,054.61 | Facility | None | $5,495.41 | $9,120.11 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,290.87 | Professional | None | $1,737.80 | $1,819.70 | $2,290.87 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,202.26 | Professional | None | $691.83 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,479.11 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,174.90 | $2,570.40 |
Lucent Health Setting Professional Modifier None Typical Low $7,943.28 Median $9,120.11 Typical High $9,120.11 | Professional | None | $7,943.28 | $9,120.11 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $151,356.12 Typical High $251,188.64 | Facility | None | $831.76 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,380.38 | $2,137.96 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,698.24 | Professional | None | $812.83 | $1,096.48 | $1,698.24 |
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 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $109.65 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $436.52 Median $537.03 Typical High $741.31 | Professional | 62 · Two surgeons | $436.52 | $537.03 | $741.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $138.04 Typical High $190.55 | Professional | 80 · Assistant surgeon | $109.65 | $138.04 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $120.23 Typical High $165.96 | Professional | AS · PA/NP assist | $97.72 | $120.23 | $165.96 |
Where California sits
The same service costs 5.6 times more in Alaska than in New York. 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· 22nd of 51
$1,445
AK $4,786NY $851
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.