How much rates vary
Facilitymedian $3,981 · 10th to 90th $575 to $33,884Professionalmedian $363 · 10th to 90th $302 to $1,820
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 $302.00 Median $323.59 Typical High $478.63 | Professional | None | $302.00 | $323.59 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $4,897.79 Typical High $10,232.93 | Facility | None | $2,570.40 | $4,897.79 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $1,258.93 | Professional | None | $323.59 | $346.74 | $1,258.93 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $3,090.30 Typical High $6,606.93 | Facility | None | $67.61 | $3,090.30 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $478.63 | Professional | None | $251.19 | $354.81 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $436.52 | Professional | None | $213.80 | $354.81 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $10,000.00 | Facility | None | $660.69 | $1,258.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $691.83 | Professional | None | $323.59 | $380.19 | $691.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $426.58 | Professional | None | $154.88 | $389.05 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $891.25 | Professional | None | $316.23 | $398.11 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $151,356.12 Typical High $251,188.64 | Facility | None | $588.84 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $630.96 | Professional | None | $323.59 | $380.19 | $630.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $660.69 | Professional | None | $288.40 | $363.08 | $660.69 |
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 $151.36 Median $162.18 Typical High $177.83 | Professional | 52 · Reduced service | $151.36 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $60.26 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $239.88 Typical High $263.03 | Professional | 54 · Surgery only | $229.09 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $47.86 Typical High $52.48 | Professional | 55 · Aftercare only | $45.71 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $32.36 Typical High $35.48 | Professional | 56 · Pre-op care only | $30.20 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $223.87 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $213.80 | $223.87 | $245.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $549.54 Typical High $851.14 | Professional | 50 · Both sides | $446.68 | $549.54 | $851.14 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $186.21 Median $223.87 Typical High $354.81 | Professional | 62 · Two surgeons | $186.21 | $223.87 | $354.81 |
Where California sits
The same service costs 6.9 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· 39th of 51
$398
AK $1,514UT $219
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.