How much rates vary
Facilitymedian $4,677 · 10th to 90th $513 to $151,356Professionalmedian $295 · 10th to 90th $191 to $3,236
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 $8,128.31 Typical High $19,054.61 | Facility | None | $1,380.38 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $758.58 | Professional | None | $281.84 | $295.12 | $758.58 |
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 $134.90 Median $190.55 Typical High $363.08 | Professional | None | $134.90 | $190.55 | $363.08 |
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 $213.80 Median $323.59 Typical High $812.83 | Professional | None | $213.80 | $323.59 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $724.44 | Professional | None | $213.80 | $234.42 | $724.44 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $5,370.32 | Professional | None | $3,235.94 | $5,370.32 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $151,356.12 Typical High $251,188.64 | Facility | None | $707.95 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $1,047.13 | Professional | None | $199.53 | $302.00 | $1,047.13 |
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 $147.91 Median $229.09 Typical High $691.83 | Professional | None | $147.91 | $229.09 | $691.83 |
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 $213.80 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $213.80 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $42.66 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $28.18 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $125.89 Median $1,122.02 Typical High $1,445.44 | Professional | 62 · Two surgeons | $125.89 | $1,122.02 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $288.40 Typical High $371.54 | Professional | 80 · Assistant surgeon | $31.62 | $288.40 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $251.19 Typical High $323.59 | Professional | AS · PA/NP assist | $27.54 | $251.19 | $323.59 |
Where California sits
The same service costs 8.5 times more in New York than in Kentucky. 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· 22nd of 51
$407
NY $1,820KY $214
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.