How much rates vary
Facilitymedian $1,698 · 10th to 90th $339 to $9,120Professionalmedian $1,660 · 10th to 90th $234 to $9,120
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 $1,659.59 Median $5,888.44 Typical High $15,848.93 | Facility | None | $1,659.59 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $1,412.54 Typical High $1,949.84 | Professional | None | $229.09 | $1,412.54 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $8,317.64 Typical High $16,982.44 | Facility | None | $4,466.84 | $8,317.64 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $1,659.59 Typical High $5,370.32 | Professional | None | $251.19 | $1,659.59 | $5,370.32 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $426.58 Typical High $1,949.84 | Facility | None | $97.72 | $426.58 | $1,949.84 |
Blue Shield Setting Professional Modifier None Typical Low $194.98 Median $1,174.90 Typical High $2,570.40 | Professional | None | $194.98 | $1,174.90 | $2,570.40 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $3,715.35 | Professional | None | $208.93 | $288.40 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,659.59 Typical High $4,365.16 | Facility | None | $812.83 | $1,659.59 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $1,513.56 Typical High $3,981.07 | Professional | None | $223.87 | $1,513.56 | $3,981.07 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $3,630.78 | Professional | None | $194.98 | $251.19 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $2,344.23 Typical High $5,011.87 | Professional | None | $208.93 | $2,344.23 | $5,011.87 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $20,892.96 Typical High $20,892.96 | Professional | None | $16,218.10 | $20,892.96 | $20,892.96 |
Molina Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,905.46 | $1,905.46 | $3,162.28 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,905.46 Typical High $7,244.36 | Facility | None | $676.08 | $1,905.46 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $223.87 Median $1,513.56 Typical High $3,981.07 | Professional | None | $223.87 | $1,513.56 | $3,981.07 |
Sutter Health Plus Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $7,079.46 | Professional | None | $724.44 | $724.44 | $7,079.46 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $190.55 Median $1,621.81 Typical High $4,265.80 | Professional | None | $190.55 | $1,621.81 | $4,265.80 |
3 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 Facility Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $173.78 Typical High $1,318.26 | Facility | 78 · Unplanned return to OR | $165.96 | $173.78 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $912.01 Typical High $1,412.54 | Professional | 54 · Surgery only | $169.82 | $912.01 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $851.14 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $158.49 | $851.14 | $1,318.26 |
Where California sits
The same service costs 7.1 times more in Oregon 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· 22nd of 51
$1,660
OR $2,884TX $407
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.