How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,318 to $11,749Professionalmedian $1,660 · 10th to 90th $1,230 to $6,607
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,659.59 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $10,232.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $5,888.44 | Professional | None | $1,621.81 | $1,737.80 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,691.53 Typical High $8,709.64 | Facility | None | $100.00 | $2,691.53 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $3,715.35 | Professional | None | $1,096.48 | $1,548.82 | $3,715.35 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,548.82 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,981.07 Typical High $7,413.10 | Facility | None | $645.65 | $3,981.07 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,890.45 | Professional | None | $1,318.26 | $1,584.89 | $3,890.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,698.24 | Professional | None | $933.25 | $1,412.54 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $3,715.35 | Professional | None | $1,258.93 | $1,584.89 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $3,801.89 Typical High $7,413.10 | Facility | None | $758.58 | $3,801.89 | $7,413.10 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $3,890.45 | Professional | None | $1,318.26 | $1,548.82 | $3,890.45 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $12,589.25 | Facility | None | $1,318.26 | $1,659.59 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $4,168.69 | Professional | None | $1,096.48 | $1,548.82 | $4,168.69 |
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 $741.31 Median $812.83 Typical High $891.25 | Professional | 52 · Reduced service | $741.31 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $331.13 Typical High $354.81 | Professional | 53 · Discontinued | $295.12 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,230.27 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,122.02 | $1,230.27 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $245.47 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $165.96 Typical High $177.83 | Professional | 56 · Pre-op care only | $147.91 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,148.15 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,148.15 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $933.25 Typical High $2,089.30 | Professional | 62 · Two surgeons | $724.44 | $933.25 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $239.88 Typical High $524.81 | Professional | 80 · Assistant surgeon | $186.21 | $239.88 | $524.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $208.93 Typical High $457.09 | Professional | AS · PA/NP assist | $162.18 | $208.93 | $457.09 |
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· 33rd of 51
$1,820
AK $5,623UT $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.