How much rates vary
Facilitymedian $2,512 · 10th to 90th $933 to $12,023Professionalmedian $912 · 10th to 90th $692 to $5,888
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 $7,585.78 Typical High $18,197.01 | Facility | None | $2,238.72 | $7,585.78 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $2,818.38 | Professional | None | $724.44 | $776.25 | $2,818.38 |
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 $870.96 Median $954.99 Typical High $3,090.30 | Professional | None | $870.96 | $954.99 | $3,090.30 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,819.70 Typical High $8,912.51 | Facility | None | $100.00 | $1,819.70 | $8,912.51 |
Blue Shield Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $2,041.74 | Professional | None | $575.44 | $812.83 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $3,311.31 | Facility | None | $758.58 | $1,584.89 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $2,187.76 | Professional | None | $776.25 | $851.14 | $2,187.76 |
Contra Costa Health Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,096.48 | Professional | None | $812.83 | $891.25 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $2,187.76 | Professional | None | $724.44 | $912.01 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,165.95 | Professional | None | $5,888.44 | $5,888.44 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $5,011.87 | Facility | None | $776.25 | $1,659.59 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $2,137.96 | Professional | None | $776.25 | $831.76 | $2,137.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
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 $630.96 Median $851.14 Typical High $2,344.23 | Professional | None | $630.96 | $851.14 | $2,344.23 |
8 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 $363.08 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $169.82 | Professional | 53 · Discontinued | $144.54 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $630.96 | Professional | 54 · Surgery only | $549.54 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $85.11 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $588.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $123.03 Typical High $302.00 | Professional | 80 · Assistant surgeon | $95.50 | $123.03 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $109.65 Typical High $263.03 | Professional | AS · PA/NP assist | $83.18 | $109.65 | $263.03 |
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· 26th of 51
$1,148
AK $3,236UT $562
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.