How much rates vary
Facilitymedian $5,623 · 10th to 90th $631 to $38,019Professionalmedian $977 · 10th to 90th $692 to $5,754
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 $2,570.40 Median $8,912.51 Typical High $19,054.61 | Facility | None | $2,570.40 | $8,912.51 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $3,162.28 | Professional | None | $707.95 | $794.33 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $9,120.11 Typical High $19,054.61 | Facility | None | $4,897.79 | $9,120.11 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $3,090.30 | Professional | None | $691.83 | $1,023.29 | $3,090.30 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $3,090.30 Typical High $6,606.93 | Facility | None | $67.61 | $3,090.30 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $2,041.74 | Professional | None | $588.84 | $831.76 | $2,041.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,023.29 | Professional | None | $630.96 | $870.96 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $10,000.00 | Facility | None | $660.69 | $1,258.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $2,137.96 | Professional | None | $741.31 | $851.14 | $2,137.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $933.25 | Professional | None | $602.56 | $776.25 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Professional | None | $707.95 | $870.96 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,025.60 | Professional | None | $5,754.40 | $5,754.40 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $151,356.12 Typical High $251,188.64 | Facility | None | $794.33 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $2,137.96 | Professional | None | $741.31 | $851.14 | $2,137.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $2,344.23 | Professional | None | $616.60 | $831.76 | $2,344.23 |
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 $354.81 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $354.81 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $141.25 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $537.03 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $70.79 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $501.19 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $501.19 Typical High $1,174.90 | Professional | 62 · Two surgeons | $389.05 | $501.19 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $125.89 Typical High $302.00 | Professional | 80 · Assistant surgeon | $100.00 | $125.89 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $109.65 Typical High $263.03 | Professional | AS · PA/NP assist | $87.10 | $109.65 | $263.03 |
Where California sits
The same service costs 6.2 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
$1,072
AK $3,236UT $525
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.