How much rates vary
Facilitymedian $6,918 · 10th to 90th $631 to $61,660Professionalmedian $3,090 · 10th to 90th $1,995 to $16,982
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 $2,238.72 Median $8,128.31 Typical High $19,054.61 | Facility | None | $2,238.72 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,137.96 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $12,589.25 Typical High $27,542.29 | Facility | None | $7,079.46 | $12,589.25 | $27,542.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $9,120.11 | Professional | None | $2,884.03 | $3,235.94 | $9,120.11 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $5,888.44 Typical High $12,302.69 | Facility | None | $67.61 | $5,888.44 | $12,302.69 |
Blue Shield Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $6,165.95 | Professional | None | $1,819.70 | $2,570.40 | $6,165.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $2,754.23 | Professional | None | $1,584.89 | $2,290.87 | $2,754.23 |
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 $2,238.72 Median $2,511.89 Typical High $6,309.57 | Professional | None | $2,238.72 | $2,511.89 | $6,309.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $2,951.21 | Professional | None | $1,258.93 | $2,454.71 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $6,606.93 | Professional | None | $2,238.72 | $2,818.38 | $6,606.93 |
Lucent Health Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $20,892.96 | Professional | None | $16,982.44 | $16,982.44 | $20,892.96 |
Molina Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
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 $2,238.72 Median $2,454.71 Typical High $6,309.57 | Professional | None | $2,238.72 | $2,454.71 | $6,309.57 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
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 $1,862.09 Median $2,570.40 Typical High $7,413.10 | Professional | None | $1,862.09 | $2,570.40 | $7,413.10 |
10 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 $1,000.00 Median $1,071.52 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,000.00 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $426.58 Typical High $478.63 | Professional | 53 · Discontinued | $398.11 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,513.56 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $302.00 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $213.80 Typical High $239.88 | Professional | 56 · Pre-op care only | $199.53 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,513.56 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,513.56 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $3,801.89 Typical High $9,120.11 | Professional | 50 · Both sides | $2,951.21 | $3,801.89 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,584.89 Typical High $3,801.89 | Professional | 62 · Two surgeons | $1,258.93 | $1,584.89 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $398.11 Typical High $977.24 | Professional | 80 · Assistant surgeon | $316.23 | $398.11 | $977.24 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $354.81 Typical High $851.14 | Professional | AS · PA/NP assist | $275.42 | $354.81 | $851.14 |
Where California sits
The same service costs 16.2 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· 25th of 51
$3,090
AK $9,772TX $603
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.