How much rates vary
Facilitymedian $6,457 · 10th to 90th $631 to $50,119Professionalmedian $1,950 · 10th to 90th $1,413 to $12,303
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 $8,128.31 Typical High $19,054.61 | Facility | None | $1,778.28 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,659.59 | $1,737.80 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $10,964.78 Typical High $22,387.21 | Facility | None | $6,456.54 | $10,964.78 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $6,456.54 | Professional | None | $1,819.70 | $2,041.74 | $6,456.54 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $4,786.30 Typical High $10,000.00 | Facility | None | $67.61 | $4,786.30 | $10,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $4,365.16 | Professional | None | $1,288.25 | $1,819.70 | $4,365.16 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,479.11 | $1,778.28 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $10,000.00 | Facility | None | $660.69 | $1,348.96 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $4,570.88 | Professional | None | $1,548.82 | $1,819.70 | $4,570.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,621.81 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,445.44 | $1,819.70 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $15,848.93 Typical High $15,848.93 | Professional | None | $12,302.69 | $15,848.93 | $15,848.93 |
Molina Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $151,356.12 Typical High $251,188.64 | Facility | None | $812.83 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $4,570.88 | Professional | None | $1,548.82 | $1,698.24 | $4,570.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
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 $1,288.25 Median $1,819.70 Typical High $4,786.30 | Professional | None | $1,288.25 | $1,819.70 | $4,786.30 |
9 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 52 · Reduced service Typical Low $812.83 Median $870.96 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $354.81 | Professional | 53 · Discontinued | $323.59 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,288.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,230.27 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $257.04 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $173.78 Typical High $177.83 | Professional | 56 · Pre-op care only | $162.18 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,202.26 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,202.26 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,071.52 Typical High $2,398.83 | Professional | 62 · Two surgeons | $831.76 | $1,071.52 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $269.15 Typical High $602.56 | Professional | 80 · Assistant surgeon | $213.80 | $269.15 | $602.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $234.42 Typical High $537.03 | Professional | AS · PA/NP assist | $186.21 | $234.42 | $537.03 |
Where California sits
The same service costs 6.8 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· 31st of 51
$2,042
AK $6,607TX $977
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.