How much rates vary
Facilitymedian $2,754 · 10th to 90th $457 to $7,943Professionalmedian $437 · 10th to 90th $219 to $1,288
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 $645.65 Median $6,025.60 Typical High $15,848.93 | Facility | None | $645.65 | $6,025.60 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $467.74 | Professional | None | $181.97 | $309.03 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $14,454.40 | Facility | None | $2,137.96 | $5,011.87 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $1,412.54 | Professional | None | $380.19 | $512.86 | $1,412.54 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,862.09 Typical High $6,760.83 | Facility | None | $100.00 | $1,862.09 | $6,760.83 |
Blue Shield Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $1,071.52 | Professional | None | $338.84 | $489.78 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $549.54 | Professional | None | $302.00 | $426.58 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,311.31 Typical High $5,623.41 | Facility | None | $660.69 | $3,311.31 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $707.95 | Professional | None | $281.84 | $426.58 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $537.03 | Professional | None | $269.15 | $346.74 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $758.58 | Professional | None | $245.47 | $416.87 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $338.84 Typical High $562.34 | Professional | None | $33.11 | $338.84 | $562.34 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $3,162.28 Typical High $5,888.44 | Facility | None | $501.19 | $3,162.28 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $707.95 | Professional | None | $281.84 | $426.58 | $707.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None | $933.25 | $933.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $5,011.87 | Facility | None | $398.11 | $1,230.27 | $5,011.87 |
United Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $891.25 | Professional | None | $239.88 | $389.05 | $891.25 |
11 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 Facility Modifier 52 · Reduced service Typical Low $89.13 Median $91.20 Typical High $181.97 | Facility | 52 · Reduced service | $89.13 | $91.20 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $72.44 | Facility | 53 · Discontinued | $36.31 | $36.31 | $72.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $269.15 | Facility | 54 · Surgery only | $134.90 | $134.90 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $53.70 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $36.31 | Facility | 56 · Pre-op care only | $18.20 | $18.20 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $151.36 Typical High $181.97 | Professional | 52 · Reduced service | $89.13 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $60.26 Typical High $72.44 | Professional | 53 · Discontinued | $36.31 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $229.09 Typical High $269.15 | Professional | 54 · Surgery only | $134.90 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $26.92 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $30.20 Typical High $36.31 | Professional | 56 · Pre-op care only | $18.20 | $30.20 | $36.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $181.97 Median $239.88 Typical High $588.84 | Professional | 62 · Two surgeons | $181.97 | $239.88 | $588.84 |
Where California sits
The same service costs 3.9 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· 27th of 51
$479
AK $1,380NY $355
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.