How much rates vary
Facilitymedian $2,399 · 10th to 90th $151 to $8,710Professionalmedian $724 · 10th to 90th $513 to $4,169
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 $1,862.09 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,862.09 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $616.60 | Professional | None | $537.03 | $575.44 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,456.54 Typical High $14,125.38 | Facility | None | $2,884.03 | $6,456.54 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,659.59 | Professional | None | $630.96 | $831.76 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $2,691.53 Typical High $7,079.46 | Facility | None | $95.50 | $2,691.53 | $7,079.46 |
Blue Shield Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $954.99 | Professional | None | $467.74 | $691.83 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $912.01 | Professional | None | $489.78 | $602.56 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $2,691.53 | Facility | None | $446.68 | $741.31 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $933.25 | Professional | None | $537.03 | $630.96 | $933.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $645.65 | Professional | None | $478.63 | $602.56 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $1,445.44 | Professional | None | $489.78 | $602.56 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,466.84 | Professional | None | $4,168.69 | $4,168.69 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,511.89 | Facility | None | $467.74 | $776.25 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $933.25 | Professional | None | $524.81 | $630.96 | $933.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $3,090.30 | Facility | None | $123.03 | $501.19 | $3,090.30 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $933.25 | Professional | None | $467.74 | $602.56 | $933.25 |
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 $269.15 Median $288.40 Typical High $309.03 | Professional | 52 · Reduced service | $269.15 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $114.82 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $426.58 Typical High $467.74 | Professional | 54 · Surgery only | $407.38 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $85.11 Typical High $93.33 | Professional | 55 · Aftercare only | $81.28 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $57.54 Typical High $61.66 | Professional | 56 · Pre-op care only | $53.70 | $57.54 | $61.66 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $371.54 Typical High $645.65 | Professional | 62 · Two surgeons | $288.40 | $371.54 | $645.65 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $93.33 Typical High $165.96 | Professional | 80 · Assistant surgeon | $72.44 | $93.33 | $165.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $81.28 Typical High $144.54 | Professional | AS · PA/NP assist | $63.10 | $81.28 | $144.54 |
Where California sits
The same service costs 4.9 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· 24th of 51
$776
AK $2,399UT $490
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.