How much rates vary
Facilitymedian $6,761 · 10th to 90th $631 to $61,660Professionalmedian $2,754 · 10th to 90th $1,820 to $15,136
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 $2,041.74 Median $8,128.31 Typical High $19,054.61 | Facility | None | $2,041.74 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,949.84 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $13,803.84 Typical High $28,840.32 | Facility | None | $7,943.28 | $13,803.84 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $8,128.31 | Professional | None | $2,630.27 | $2,951.21 | $8,128.31 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $4,786.30 Typical High $10,000.00 | Facility | None | $67.61 | $4,786.30 | $10,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $5,495.41 | Professional | None | $1,584.89 | $2,290.87 | $5,495.41 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,041.74 | $2,511.89 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $10,000.00 | Facility | None | $660.69 | $1,445.44 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $5,754.40 | Professional | None | $2,041.74 | $2,290.87 | $5,754.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $2,691.53 | Professional | None | $1,621.81 | $2,238.72 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $6,025.60 | Professional | None | $1,995.26 | $2,570.40 | $6,025.60 |
Lucent Health Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $19,054.61 | Professional | None | $15,135.61 | $15,135.61 | $19,054.61 |
Molina Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $5,888.44 | Professional | None | $2,041.74 | $2,238.72 | $5,888.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
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 $1,737.80 Median $2,344.23 Typical High $6,760.83 | Professional | None | $1,737.80 | $2,344.23 | $6,760.83 |
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 $912.01 Median $977.24 Typical High $1,096.48 | Professional | 52 · Reduced service | $912.01 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $389.05 Typical High $436.52 | Professional | 53 · Discontinued | $363.08 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,445.44 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,348.96 | $1,445.44 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $288.40 Typical High $323.59 | Professional | 55 · Aftercare only | $275.42 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $194.98 Typical High $218.78 | Professional | 56 · Pre-op care only | $181.97 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,348.96 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,348.96 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,445.44 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,148.15 | $1,445.44 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $363.08 Typical High $891.25 | Professional | 80 · Assistant surgeon | $288.40 | $363.08 | $891.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $323.59 Typical High $776.25 | Professional | AS · PA/NP assist | $251.19 | $323.59 | $776.25 |
Where California sits
The same service costs 13.5 times more in Alaska than in Texas. 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
$2,818
AK $8,913TX $661
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.