How much rates vary
Facilitymedian $4,571 · 10th to 90th $513 to $151,356Professionalmedian $389 · 10th to 90th $316 to $2,692
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 $331.13 Median $346.74 Typical High $380.19 | Professional | None | $331.13 | $346.74 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $6,025.60 Typical High $13,489.63 | Facility | None | $2,691.53 | $6,025.60 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $707.95 | Professional | None | $380.19 | $380.19 | $707.95 |
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 $288.40 Median $407.38 Typical High $501.19 | Professional | None | $288.40 | $407.38 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $10,000.00 | Facility | None | $660.69 | $1,258.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $575.44 | Professional | None | $354.81 | $380.19 | $575.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | None | $354.81 | $389.05 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $758.58 | Professional | None | $309.03 | $346.74 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,691.53 | $3,019.95 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $151,356.12 Typical High $251,188.64 | Facility | None | $616.60 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $562.34 | Professional | None | $354.81 | $380.19 | $562.34 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $302.00 Median $380.19 Typical High $588.84 | Professional | None | $302.00 | $380.19 | $588.84 |
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 $245.47 Median $257.04 Typical High $281.84 | Professional | 54 · Surgery only | $245.47 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $51.29 Typical High $57.54 | Professional | 55 · Aftercare only | $48.98 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $34.67 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.11 | $34.67 | $38.02 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $199.53 Median $245.47 Typical High $446.68 | Professional | 62 · Two surgeons | $199.53 | $245.47 | $446.68 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $63.10 Typical High $114.82 | Professional | 80 · Assistant surgeon | $50.12 | $63.10 | $114.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $54.95 Typical High $100.00 | Professional | AS · PA/NP assist | $43.65 | $54.95 | $100.00 |
Where California sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 43rd of 51
$398
AK $1,514NJ $347
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.