How much rates vary
Facilitymedian $4,365 · 10th to 90th $550 to $13,804Professionalmedian $589 · 10th to 90th $417 to $3,311
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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $630.96 | Professional | None | $436.52 | $489.78 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $17,782.79 | Facility | None | $5,011.87 | $8,317.64 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $1,862.09 | Professional | None | $588.84 | $630.96 | $1,862.09 |
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 $407.38 Median $588.84 Typical High $1,348.96 | Professional | None | $407.38 | $588.84 | $1,348.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $467.74 | Professional | None | $309.03 | $407.38 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,174.90 Typical High $5,623.41 | Facility | None | $660.69 | $1,174.90 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $1,258.93 | Professional | None | $446.68 | $512.86 | $1,258.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $512.86 | Professional | None | $239.88 | $426.58 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $1,148.15 | Professional | None | $380.19 | $501.19 | $1,148.15 |
Lucent Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,801.89 | Professional | None | $3,311.31 | $3,311.31 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $5,623.41 | Facility | None | $501.19 | $870.96 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $1,288.25 | Professional | None | $446.68 | $501.19 | $1,288.25 |
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 $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 $380.19 Median $512.86 Typical High $1,380.38 | Professional | None | $380.19 | $512.86 | $1,380.38 |
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 $208.93 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $85.11 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $316.23 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $41.69 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $251.19 Median $323.59 Typical High $707.95 | Professional | 62 · Two surgeons | $251.19 | $323.59 | $707.95 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $81.28 Typical High $190.55 | Professional | 80 · Assistant surgeon | $63.10 | $81.28 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $70.79 Typical High $165.96 | Professional | AS · PA/NP assist | $54.95 | $70.79 | $165.96 |
Where California sits
The same service costs 3.4 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· 28th of 51
$631
AK $1,514UT $447
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.