How much rates vary
Facilitymedian $7,586 · 10th to 90th $776 to $47,863Professionalmedian $759 · 10th to 90th $457 to $5,012
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 $1,949.84 Median $6,309.57 Typical High $16,218.10 | Facility | None | $1,949.84 | $6,309.57 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $912.01 | Professional | None | $467.74 | $549.54 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,760.83 Typical High $15,135.61 | Facility | None | $2,951.21 | $6,760.83 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $2,187.76 | Professional | None | $478.63 | $851.14 | $2,187.76 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $8,511.38 | Facility | None | $100.00 | $1,949.84 | $8,511.38 |
Blue Shield Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,348.96 | Professional | None | $389.05 | $562.34 | $1,348.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $741.31 | Professional | None | $489.78 | $691.83 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $40,738.03 Typical High $50,118.72 | Facility | None | $562.34 | $40,738.03 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $1,445.44 | Professional | None | $478.63 | $588.84 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $776.25 | Professional | None | $389.05 | $645.65 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,737.80 | Professional | None | $562.34 | $707.95 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $5,011.87 Median $13,489.63 Typical High $13,489.63 | Professional | None | $5,011.87 | $13,489.63 | $13,489.63 |
Molina Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $18,620.87 Typical High $58,884.37 | Facility | None | $549.54 | $18,620.87 | $58,884.37 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $1,445.44 | Professional | None | $478.63 | $575.44 | $1,445.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $8,128.31 Median $16,982.44 Typical High $35,481.34 | Facility | None | $8,128.31 | $16,982.44 | $35,481.34 |
United Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $1,698.24 | Professional | None | $407.38 | $588.84 | $1,698.24 |
7 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 $229.09 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $229.09 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $93.33 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $346.74 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $46.77 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $346.74 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $346.74 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $831.76 Typical High $1,905.46 | Professional | 50 · Both sides | $645.65 | $831.76 | $1,905.46 |
Where California sits
The same service costs 24.6 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $43,875MT $1,787
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.