How much rates vary
Facilitymedian $2,512 · 10th to 90th $912 to $10,233Professionalmedian $550 · 10th to 90th $457 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 $2,238.72 Median $7,585.78 Typical High $18,197.01 | Facility | None | $2,238.72 | $7,585.78 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $707.95 | Professional | None | $436.52 | $467.74 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $1,905.46 | Professional | None | $489.78 | $501.19 | $1,905.46 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $100.00 | $2,290.87 | $10,232.93 |
Blue Shield Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $707.95 | Professional | None | $371.54 | $524.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,698.24 Typical High $3,548.13 | Facility | None | $758.58 | $1,698.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $1,023.29 | Professional | None | $467.74 | $549.54 | $1,023.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,479.11 | Professional | None | $616.60 | $676.08 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,412.54 | Professional | None | $489.78 | $630.96 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,265.80 | Professional | None | $4,168.69 | $4,168.69 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $4,677.35 | Facility | None | $691.83 | $1,778.28 | $4,677.35 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $954.99 | Professional | None | $467.74 | $549.54 | $954.99 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $977.24 | Professional | None | $426.58 | $549.54 | $977.24 |
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 $218.78 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $107.15 | Professional | 53 · Discontinued | $87.10 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $346.74 Typical High $398.11 | Professional | 54 · Surgery only | $331.13 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $79.43 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $323.59 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $309.03 | $323.59 | $371.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $794.33 Typical High $1,288.25 | Professional | 50 · Both sides | $645.65 | $794.33 | $1,288.25 |
Where California sits
The same service costs 8.5 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· 34th of 51
$676
WY $2,512UT $295
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.