How much rates vary
Facilitymedian $2,951 · 10th to 90th $759 to $10,233Professionalmedian $468 · 10th to 90th $355 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 $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 $398.11 Median $416.87 Typical High $891.25 | Professional | None | $398.11 | $416.87 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $16,982.44 | Facility | None | $3,890.45 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $1,698.24 | Professional | None | $457.09 | $512.86 | $1,698.24 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,819.70 Typical High $7,244.36 | Facility | None | $100.00 | $1,819.70 | $7,244.36 |
Blue Shield Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $1,047.13 | Professional | None | $302.00 | $426.58 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $616.60 | Professional | None | $398.11 | $489.78 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $5,011.87 | Facility | None | $645.65 | $2,630.27 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $1,148.15 | Professional | None | $380.19 | $457.09 | $1,148.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $524.81 | Professional | None | $331.13 | $436.52 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $1,174.90 | Professional | None | $389.05 | $478.63 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $2,630.27 Typical High $5,248.07 | Facility | None | $575.44 | $2,630.27 | $5,248.07 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $1,122.02 | Professional | None | $380.19 | $436.52 | $1,122.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $436.52 Typical High $1,202.26 | Professional | None | $316.23 | $436.52 | $1,202.26 |
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 $194.98 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $194.98 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $77.62 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $338.84 | Professional | 54 · Surgery only | $288.40 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $57.54 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $38.90 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $295.12 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $269.15 | $295.12 | $316.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $588.84 Typical High $1,445.44 | Professional | 50 · Both sides | $446.68 | $588.84 | $1,445.44 |
Where California sits
The same service costs 6.0 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· 31st of 51
$603
OK $1,862UT $309
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.