How much rates vary
Facilitymedian $1,995 · 10th to 90th $617 to $14,791Professionalmedian $490 · 10th to 90th $355 to $3,020
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $1,862.09 | Professional | None | $363.08 | $398.11 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $12,302.69 | Facility | None | $2,630.27 | $5,495.41 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $1,584.89 | Professional | None | $467.74 | $524.81 | $1,584.89 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $1,584.89 Typical High $7,413.10 | Facility | None | $95.50 | $1,584.89 | $7,413.10 |
Blue Shield Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $1,122.02 | Professional | None | $331.13 | $467.74 | $1,122.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $562.34 | Professional | None | $346.74 | $467.74 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $5,623.41 | Facility | None | $467.74 | $912.01 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $1,096.48 | Professional | None | $371.54 | $436.52 | $1,096.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $512.86 | Professional | None | $331.13 | $426.58 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $1,071.52 | Professional | None | $380.19 | $478.63 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,388.44 | Professional | None | $3,019.95 | $3,019.95 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $5,623.41 Typical High $251,188.64 | Facility | None | $512.86 | $5,623.41 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $1,096.48 | Professional | None | $371.54 | $426.58 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $6,918.31 | Facility | None | $630.96 | $812.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $1,230.27 | Professional | None | $323.59 | $446.68 | $1,230.27 |
6 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 $181.97 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $181.97 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $281.84 |
Where California sits
The same service costs 6.0 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· 12th of 51
$708
AK $1,380UT $229
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.