How much rates vary
Facilitymedian $3,802 · 10th to 90th $646 to $30,200Professionalmedian $1,288 · 10th to 90th $955 to $7,943
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 $1,202.26 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,202.26 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,122.02 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $9,332.54 Typical High $20,892.96 | Facility | None | $5,370.32 | $9,332.54 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $4,365.16 | Professional | None | $1,202.26 | $1,318.26 | $4,365.16 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $2,570.40 Typical High $5,754.40 | Facility | None | $95.50 | $2,570.40 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,818.38 | Professional | None | $794.33 | $1,122.02 | $2,818.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,230.27 | Professional | None | $691.83 | $1,000.00 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,202.26 | $3,019.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $549.54 Median $1,096.48 Typical High $1,318.26 | Professional | None | $549.54 | $1,096.48 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,951.21 | Professional | None | $977.24 | $1,230.27 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $8,317.64 | Professional | None | $7,943.28 | $7,943.28 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $151,356.12 Typical High $251,188.64 | Facility | None | $758.58 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,174.90 | $3,019.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $12,022.64 | Facility | None | $524.81 | $1,380.38 | $12,022.64 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $3,235.94 | Professional | None | $891.25 | $1,202.26 | $3,235.94 |
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 $524.81 Median $562.34 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $239.88 | Professional | 53 · Discontinued | $208.93 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $912.01 | Professional | 54 · Surgery only | $776.25 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $169.82 Typical High $181.97 | Professional | 55 · Aftercare only | $158.49 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $112.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $104.71 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $851.14 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $707.95 Typical High $1,621.81 | Professional | 62 · Two surgeons | $562.34 | $707.95 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $181.97 Typical High $407.38 | Professional | 80 · Assistant surgeon | $144.54 | $181.97 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $158.49 Typical High $354.81 | Professional | AS · PA/NP assist | $125.89 | $158.49 | $354.81 |
Where California sits
The same service costs 5.6 times more in Alaska 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· 27th of 51
$1,445
AK $4,365TX $776
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.