How much rates vary
Facilitymedian $3,020 · 10th to 90th $832 to $10,000Professionalmedian $794 · 10th to 90th $631 to $6,166
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $645.65 Typical High $1,047.13 | Professional | None | $616.60 | $645.65 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $2,754.23 | Professional | None | $660.69 | $676.08 | $2,754.23 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $6,918.31 | Facility | None | $100.00 | $1,949.84 | $6,918.31 |
Blue Shield Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,000.00 | Professional | None | $524.81 | $741.31 | $1,000.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,096.48 | Professional | None | $660.69 | $1,000.00 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,570.40 Typical High $5,011.87 | Facility | None | $575.44 | $2,570.40 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,513.56 | Professional | None | $660.69 | $758.58 | $1,513.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $467.74 Median $977.24 Typical High $1,318.26 | Professional | None | $467.74 | $977.24 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,995.26 | Professional | None | $776.25 | $977.24 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,606.93 | Professional | None | $6,165.95 | $6,165.95 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $2,454.71 Typical High $5,754.40 | Facility | None | $676.08 | $2,454.71 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,380.38 | Professional | None | $660.69 | $741.31 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,412.54 | Professional | None | $616.60 | $812.83 | $1,412.54 |
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 $302.00 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $302.00 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | 53 · Discontinued | $123.03 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $489.78 Typical High $562.34 | Professional | 54 · Surgery only | $457.09 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $91.20 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $61.66 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $457.09 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $426.58 | $457.09 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,047.13 Typical High $1,698.24 | Professional | 50 · Both sides | $870.96 | $1,047.13 | $1,698.24 |
Where California sits
The same service costs 8.3 times more in Wyoming 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· 36th of 51
$933
WY $4,074UT $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.