How much rates vary
Facilitymedian $6,166 · 10th to 90th $631 to $61,660Professionalmedian $1,995 · 10th to 90th $1,318 to $10,965
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 $1,479.11 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,479.11 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,380.38 | $1,621.81 |
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 $1,905.46 Median $2,137.96 Typical High $5,754.40 | Professional | None | $1,905.46 | $2,137.96 | $5,754.40 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $4,168.69 Typical High $8,709.64 | Facility | None | $67.61 | $4,168.69 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $3,981.07 | Professional | None | $1,148.15 | $1,621.81 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $10,000.00 | Facility | None | $660.69 | $1,348.96 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $4,073.80 | Professional | None | $1,445.44 | $1,621.81 | $4,073.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,778.28 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $4,365.16 | Professional | None | $1,479.11 | $1,862.09 | $4,365.16 |
Lucent Health Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $13,803.84 | Professional | None | $10,964.78 | $10,964.78 | $13,803.84 |
Molina Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $151,356.12 Typical High $251,188.64 | Facility | None | $812.83 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $4,168.69 | Professional | None | $1,445.44 | $1,584.89 | $4,168.69 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
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 $1,230.27 Median $1,659.59 Typical High $4,786.30 | Professional | None | $1,230.27 | $1,659.59 | $4,786.30 |
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 $645.65 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $645.65 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $263.03 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $977.24 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $208.93 Typical High $234.42 | Professional | 55 · Aftercare only | $194.98 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $138.04 Typical High $154.88 | Professional | 56 · Pre-op care only | $128.82 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $912.01 | $977.24 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $263.03 Typical High $630.96 | Professional | 80 · Assistant surgeon | $208.93 | $263.03 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $229.09 Typical High $549.54 | Professional | AS · PA/NP assist | $181.97 | $229.09 | $549.54 |
Where California sits
The same service costs 7.2 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· 23rd of 51
$2,089
AK $6,457TX $891
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.