How much rates vary
Facilitymedian $2,630 · 10th to 90th $891 to $12,882Professionalmedian $977 · 10th to 90th $813 to $7,079
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 $2,570.40 Median $8,912.51 Typical High $19,054.61 | Facility | None | $2,570.40 | $8,912.51 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,202.26 | Professional | None | $776.25 | $812.83 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $10,964.78 Typical High $20,417.38 | Facility | None | $4,786.30 | $10,964.78 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $3,311.31 | Professional | None | $851.14 | $870.96 | $3,311.31 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,479.11 Typical High $9,772.37 | Facility | None | $100.00 | $1,479.11 | $9,772.37 |
Blue Shield Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,258.93 | Professional | None | $660.69 | $933.25 | $1,258.93 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,548.82 | Professional | None | $954.99 | $1,148.15 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,467.37 | Facility | None | $851.14 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,778.28 | Professional | None | $831.76 | $954.99 | $1,778.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,412.54 | Professional | None | $831.76 | $1,047.13 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $2,238.72 | Professional | None | $831.76 | $1,071.52 | $2,238.72 |
Lucent Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,244.36 | Professional | None | $7,079.46 | $7,079.46 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $2,041.74 Typical High $5,888.44 | Facility | None | $851.14 | $2,041.74 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,659.59 | Professional | None | $831.76 | $954.99 | $1,659.59 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
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 $741.31 Median $954.99 Typical High $1,698.24 | Professional | None | $741.31 | $954.99 | $1,698.24 |
9 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 $389.05 Median $407.38 Typical High $457.09 | Professional | 52 · Reduced service | $389.05 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $138.04 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $81.28 Typical High $91.20 | Professional | 56 · Pre-op care only | $77.62 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $645.65 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,380.38 Typical High $2,137.96 | Professional | 50 · Both sides | $1,122.02 | $1,380.38 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $144.54 Typical High $239.88 | Professional | 80 · Assistant surgeon | $120.23 | $144.54 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $125.89 Typical High $199.53 | Professional | AS · PA/NP assist | $104.71 | $125.89 | $199.53 |
Where California sits
The same service costs 7.2 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· 37th of 51
$1,096
AK $3,981UT $550
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.