How much rates vary
Facilitymedian $3,388 · 10th to 90th $372 to $10,233Professionalmedian $550 · 10th to 90th $380 to $2,042
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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $602.56 | Professional | None | $416.87 | $436.52 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $11,220.18 | Facility | None | $2,137.96 | $5,248.07 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $1,737.80 | Professional | None | $467.74 | $549.54 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $436.52 Typical High $5,623.41 | Facility | None | $97.72 | $436.52 | $5,623.41 |
Blue Shield Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $977.24 | Professional | None | $309.03 | $446.68 | $977.24 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $588.84 | Professional | None | $354.81 | $478.63 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $3,630.78 Typical High $6,309.57 | Facility | None | $1,047.13 | $3,630.78 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $1,071.52 | Professional | None | $416.87 | $478.63 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $588.84 | Professional | None | $346.74 | $436.52 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $1,148.15 | Professional | None | $371.54 | $467.74 | $1,148.15 |
Lucent Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $660.69 | Professional | None | $33.11 | $33.11 | $660.69 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $10,000.00 | Facility | None | $707.95 | $3,801.89 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $1,047.13 | Professional | None | $416.87 | $467.74 | $1,047.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $1,148.15 | Professional | None | $354.81 | $478.63 | $1,148.15 |
3 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 54 · Surgery only Typical Low $309.03 Median $331.13 Typical High $354.81 | Professional | 54 · Surgery only | $309.03 | $331.13 | $354.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $72.44 Typical High $151.36 | Professional | 80 · Assistant surgeon | $56.23 | $72.44 | $151.36 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $63.10 Typical High $131.83 | Professional | AS · PA/NP assist | $50.12 | $63.10 | $131.83 |
Where California sits
The same service costs 4.3 times more in Alaska than in New York. 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· 40th of 51
$550
AK $1,862NY $437
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.