How much rates vary
Facilitymedian $5,370 · 10th to 90th $631 to $151,356Professionalmedian $2,138 · 10th to 90th $1,738 to $17,783
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 $1,778.28 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,778.28 | $1,862.09 | $2,187.76 |
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 $2,041.74 Median $2,041.74 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,041.74 | $3,801.89 |
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 $1,412.54 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,412.54 | $1,995.26 | $2,454.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,511.89 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $10,000.00 | Facility | None | $660.69 | $1,445.44 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,089.30 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,584.89 | $2,238.72 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $4,365.16 | Professional | None | $1,905.46 | $2,137.96 | $4,365.16 |
Lucent Health Setting Professional Modifier None Typical Low $17,782.79 Median $18,197.01 Typical High $18,197.01 | Professional | None | $17,782.79 | $18,197.01 | $18,197.01 |
Molina Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
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 $1,905.46 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,905.46 | $2,089.30 | $3,235.94 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
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 $1,737.80 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,737.80 | $2,137.96 | $3,388.44 |
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 $1,258.93 Median $1,318.26 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,318.26 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,412.54 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,148.15 | $1,412.54 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $354.81 Typical High $691.83 | Professional | 80 · Assistant surgeon | $288.40 | $354.81 | $691.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $309.03 Typical High $602.56 | Professional | AS · PA/NP assist | $257.04 | $309.03 | $602.56 |
Where California sits
The same service costs 21.9 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· 43rd of 51
$2,138
AK $7,762TX $355
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.