How much rates vary
Facilitymedian $3,236 · 10th to 90th $912 to $10,965Professionalmedian $851 · 10th to 90th $676 to $6,607
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $1,122.02 | Professional | None | $660.69 | $691.83 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $2,951.21 | Professional | None | $724.44 | $741.31 | $2,951.21 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $8,709.64 | Facility | None | $100.00 | $1,949.84 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,071.52 | Professional | None | $562.34 | $794.33 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,174.90 | Professional | None | $812.83 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $5,248.07 | Facility | None | $645.65 | $2,630.27 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,621.81 | Professional | None | $707.95 | $812.83 | $1,621.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,412.54 | Professional | None | $588.84 | $1,047.13 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $2,137.96 | Professional | None | $831.76 | $1,047.13 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,079.46 | Professional | None | $6,606.93 | $6,606.93 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,630.27 Typical High $6,165.95 | Facility | None | $707.95 | $2,630.27 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,479.11 | Professional | None | $707.95 | $812.83 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $660.69 Median $891.25 Typical High $1,513.56 | Professional | None | $660.69 | $891.25 | $1,513.56 |
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 $331.13 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $331.13 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $141.25 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $81.28 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $562.34 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,174.90 Typical High $1,862.09 | Professional | 50 · Both sides | $933.25 | $1,174.90 | $1,862.09 |
Where California sits
The same service costs 8.1 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
$1,000
WY $4,169UT $513
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.