How much rates vary
Facilitymedian $2,399 · 10th to 90th $151 to $8,710Professionalmedian $851 · 10th to 90th $589 to $4,898
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 $588.84 Median $660.69 Typical High $707.95 | Professional | None | $588.84 | $660.69 | $707.95 |
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 $724.44 Median $954.99 Typical High $1,905.46 | Professional | None | $724.44 | $954.99 | $1,905.46 |
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 $537.03 Median $794.33 Typical High $1,096.48 | Professional | None | $537.03 | $794.33 | $1,096.48 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,047.13 | Professional | None | $575.44 | $691.83 | $1,047.13 |
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 $630.96 Median $724.44 Typical High $1,071.52 | Professional | None | $630.96 | $724.44 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $758.58 | Professional | None | $562.34 | $691.83 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $1,659.59 | Professional | None | $562.34 | $691.83 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,128.61 | Professional | None | $4,897.79 | $4,897.79 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $794.33 Typical High $2,511.89 | Facility | None | $467.74 | $794.33 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,071.52 | Professional | None | $616.60 | $724.44 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
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 $537.03 Median $691.83 Typical High $1,096.48 | Professional | None | $537.03 | $691.83 | $1,096.48 |
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 $316.23 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $316.23 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $100.00 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $70.79 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $426.58 Typical High $758.58 | Professional | 62 · Two surgeons | $331.13 | $426.58 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $107.15 Typical High $190.55 | Professional | 80 · Assistant surgeon | $83.18 | $107.15 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $95.50 Typical High $165.96 | Professional | AS · PA/NP assist | $74.13 | $95.50 | $165.96 |
Where California sits
The same service costs 4.7 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· 25th of 51
$891
AK $2,754UT $589
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.