How much rates vary
Facilitymedian $5,370 · 10th to 90th $631 to $151,356Professionalmedian $1,072 · 10th to 90th $871 to $8,318
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,096.48 | Professional | None | $933.25 | $977.24 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $8,317.64 Typical High $17,782.79 | Facility | None | $4,265.80 | $8,317.64 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,071.52 | $1,862.09 |
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 $676.08 Median $954.99 Typical High $1,174.90 | Professional | None | $676.08 | $954.99 | $1,174.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,318.26 | $1,348.96 |
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 $933.25 Median $1,047.13 Typical High $1,698.24 | Professional | None | $933.25 | $1,047.13 | $1,698.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,288.25 | Professional | None | $758.58 | $1,174.90 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,096.48 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $9,332.54 Typical High $9,332.54 | Professional | None | $8,317.64 | $9,332.54 | $9,332.54 |
Molina Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,621.81 | Professional | None | $933.25 | $1,047.13 | $1,621.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
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 $851.14 Median $1,047.13 Typical High $1,737.80 | Professional | None | $851.14 | $1,047.13 | $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 $645.65 Median $691.83 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $645.65 | $691.83 | $776.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $676.08 Typical High $1,348.96 | Professional | 62 · Two surgeons | $562.34 | $676.08 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $173.78 Typical High $338.84 | Professional | 80 · Assistant surgeon | $144.54 | $173.78 | $338.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $151.36 Typical High $295.12 | Professional | AS · PA/NP assist | $125.89 | $151.36 | $295.12 |
Where California sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$1,072
AK $4,467TX $776
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.