How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,072 to $10,965Professionalmedian $1,318 · 10th to 90th $1,000 to $5,370
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 $1,174.90 Median $1,230.27 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,230.27 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,511.38 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $4,570.88 | Professional | None | $1,202.26 | $1,380.38 | $4,570.88 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,884.03 Typical High $7,413.10 | Facility | None | $100.00 | $2,884.03 | $7,413.10 |
Blue Shield Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $3,019.95 | Professional | None | $891.25 | $1,258.93 | $3,019.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $933.25 | $1,288.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $3,981.07 Typical High $6,918.31 | Facility | None | $575.44 | $3,981.07 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $3,162.28 | Professional | None | $1,096.48 | $1,258.93 | $3,162.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,380.38 | Professional | None | $891.25 | $1,148.15 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,288.25 | $2,630.27 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
Molina Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $3,715.35 Typical High $6,918.31 | Facility | None | $616.60 | $3,715.35 | $6,918.31 |
Providence Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $3,162.28 | Professional | None | $1,096.48 | $1,230.27 | $3,162.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $3,388.44 | Professional | None | $891.25 | $1,288.25 | $3,388.44 |
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 $575.44 Median $616.60 Typical High $645.65 | Professional | 52 · Reduced service | $575.44 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $245.47 Typical High $257.04 | Professional | 53 · Discontinued | $229.09 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $933.25 Typical High $977.24 | Professional | 54 · Surgery only | $870.96 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $186.21 Typical High $194.98 | Professional | 55 · Aftercare only | $173.78 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | 56 · Pre-op care only | $114.82 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $870.96 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $812.83 | $870.96 | $912.01 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $758.58 Typical High $1,698.24 | Professional | 62 · Two surgeons | $588.84 | $758.58 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $186.21 Typical High $426.58 | Professional | 80 · Assistant surgeon | $151.36 | $186.21 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $165.96 Typical High $371.54 | Professional | AS · PA/NP assist | $131.83 | $165.96 | $371.54 |
Where California sits
The same service costs 5.8 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· 28th of 51
$1,622
AK $4,677UT $813
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.