How much rates vary
Facilitymedian $6,761 · 10th to 90th $513 to $17,378Professionalmedian $398 · 10th to 90th $324 to $832
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 $1,778.28 Median $8,317.64 Typical High $18,620.87 | Facility | None | $1,778.28 | $8,317.64 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $562.34 | Professional | None | $323.59 | $389.05 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $724.44 | Professional | None | $309.03 | $354.81 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $5,248.07 Typical High $12,022.64 | Facility | None | $2,454.71 | $5,248.07 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $776.25 | Professional | None | $416.87 | $446.68 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $5,011.87 Typical High $10,715.19 | Facility | None | $72.44 | $5,011.87 | $10,715.19 |
Blue Shield Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $416.87 | Professional | None | $239.88 | $346.74 | $416.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $13,489.63 Typical High $14,791.08 | Facility | None | $407.38 | $13,489.63 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $602.56 | Professional | None | $346.74 | $389.05 | $602.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $436.52 | Professional | None | $309.03 | $398.11 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $831.76 | Professional | None | $338.84 | $380.19 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 $478.63 Median $10,000.00 Typical High $19,498.45 | Facility | None | $478.63 | $10,000.00 | $19,498.45 |
Providence Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $575.44 | Professional | None | $346.74 | $389.05 | $575.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $6,918.31 Median $12,302.69 Typical High $26,302.68 | Facility | None | $6,918.31 | $12,302.69 | $26,302.68 |
United Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $602.56 | Professional | None | $309.03 | $380.19 | $602.56 |
5 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 $251.19 Median $269.15 Typical High $302.00 | Professional | 54 · Surgery only | $251.19 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $251.19 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $234.42 | $251.19 | $281.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $229.09 Median $275.42 Typical High $407.38 | Professional | 62 · Two surgeons | $229.09 | $275.42 | $407.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $69.18 Typical High $104.71 | Professional | 80 · Assistant surgeon | $57.54 | $69.18 | $104.71 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $61.66 Typical High $91.20 | Professional | AS · PA/NP assist | $50.12 | $61.66 | $91.20 |
Where California sits
The same service costs 4.2 times more in Wyoming 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
$398
WY $1,202UT $288
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.