How much rates vary
Facilitymedian $3,090 · 10th to 90th $851 to $12,023Professionalmedian $513 · 10th to 90th $417 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 $1,949.84 Median $7,413.10 Typical High $18,197.01 | Facility | None | $1,949.84 | $7,413.10 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $660.69 | Professional | None | $436.52 | $501.19 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $18,620.87 | Facility | None | $4,570.88 | $10,000.00 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $1,862.09 | Professional | None | $512.86 | $575.44 | $1,862.09 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,819.70 Typical High $9,332.54 | Facility | None | $100.00 | $1,819.70 | $9,332.54 |
Blue Shield Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $1,122.02 | Professional | None | $316.23 | $457.09 | $1,122.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $630.96 | Professional | None | $426.58 | $537.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $5,011.87 | Facility | None | $758.58 | $2,691.53 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,258.93 | Professional | None | $426.58 | $501.19 | $1,258.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $575.44 | Professional | None | $338.84 | $478.63 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $1,288.25 | Professional | None | $426.58 | $524.81 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $2,691.53 Typical High $5,754.40 | Facility | None | $645.65 | $2,691.53 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $1,258.93 | Professional | None | $426.58 | $478.63 | $1,258.93 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
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 $354.81 Median $489.78 Typical High $1,348.96 | Professional | None | $354.81 | $489.78 | $1,348.96 |
7 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 $213.80 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $213.80 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $346.74 Typical High $380.19 | Professional | 54 · Surgery only | $323.59 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $69.18 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $302.00 | $323.59 | $354.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $724.44 Typical High $1,584.89 | Professional | 50 · Both sides | $588.84 | $724.44 | $1,584.89 |
Where California sits
The same service costs 8.7 times more in Oklahoma 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
$617
OK $2,951UT $339
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.