How much rates vary
Facilitymedian $2,399 · 10th to 90th $501 to $7,413Professionalmedian $120 · 10th to 90th $95 to $380
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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | None | $102.33 | $107.15 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $218.78 | Professional | None | $117.49 | $138.04 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,238.72 Typical High $5,623.41 | Facility | None | $100.00 | $2,238.72 | $5,623.41 |
Blue Shield Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $131.83 | Professional | None | $75.86 | $109.65 | $131.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $138.04 | Professional | None | $97.72 | $120.23 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $2,691.53 | Facility | None | $467.74 | $758.58 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $177.83 | Professional | None | $109.65 | $117.49 | $177.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $117.49 | Professional | None | $97.72 | $107.15 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $229.09 | Professional | None | $95.50 | $104.71 | $229.09 |
Lucent Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $630.96 Typical High $2,691.53 | Facility | None | $125.89 | $630.96 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $173.78 | Professional | None | $109.65 | $117.49 | $173.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $6,309.57 | Facility | None | $602.56 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $181.97 | Professional | None | $95.50 | $117.49 | $181.97 |
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 54 · Surgery only Typical Low $75.86 Median $79.43 Typical High $87.10 | Professional | 54 · Surgery only | $75.86 | $79.43 | $87.10 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | 62 · Two surgeons | $61.66 | $75.86 | $138.04 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $19.50 Typical High $35.48 | Professional | 80 · Assistant surgeon | $15.49 | $19.50 | $35.48 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $16.98 Typical High $30.90 | Professional | AS · PA/NP assist | $13.49 | $16.98 | $30.90 |
Where California sits
The same service costs 4.9 times more in Alaska 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· 43rd of 51
$123
AK $468UT $95.50
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.