How much rates vary
Facilitymedian $2,754 · 10th to 90th $676 to $9,120Professionalmedian $457 · 10th to 90th $363 to $1,950
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $1,905.46 | Professional | None | $398.11 | $457.09 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $1,621.81 | Professional | None | $416.87 | $467.74 | $1,621.81 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,380.38 Typical High $6,606.93 | Facility | None | $100.00 | $1,380.38 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $1,023.29 | Professional | None | $295.12 | $416.87 | $1,023.29 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $831.76 | Professional | None | $389.05 | $478.63 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,570.40 Typical High $4,466.84 | Facility | None | $562.34 | $2,570.40 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $1,122.02 | Professional | None | $371.54 | $436.52 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $575.44 | Professional | None | $426.58 | $467.74 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $954.99 | Professional | None | $380.19 | $467.74 | $954.99 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $2,454.71 Typical High $4,786.30 | Facility | None | $501.19 | $2,454.71 | $4,786.30 |
Providence Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $1,096.48 | Professional | None | $371.54 | $436.52 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $1,174.90 | Professional | None | $316.23 | $457.09 | $1,174.90 |
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 52 · Reduced service Typical Low $199.53 Median $229.09 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $79.43 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $346.74 Typical High $354.81 | Professional | 54 · Surgery only | $302.00 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $70.79 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $45.71 Typical High $47.86 | Professional | 56 · Pre-op care only | $39.81 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $323.59 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $281.84 | $323.59 | $331.13 |
Where California sits
The same service costs 6.2 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· 31st of 51
$589
AK $1,862UT $302
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.