How much rates vary
Facilitymedian $3,162 · 10th to 90th $617 to $9,120Professionalmedian $501 · 10th to 90th $407 to $3,631
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 $398.11 Median $426.58 Typical High $616.60 | Professional | None | $398.11 | $426.58 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,951.21 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $1,659.59 | Professional | None | $436.52 | $446.68 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,071.52 Typical High $6,606.93 | Facility | None | $100.00 | $1,071.52 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $602.56 | Professional | None | $316.23 | $446.68 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $691.83 | Professional | None | $467.74 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,235.94 Typical High $5,495.41 | Facility | None | $562.34 | $3,235.94 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $891.25 | Professional | None | $426.58 | $501.19 | $891.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $724.44 | Professional | None | $363.08 | $537.03 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $1,318.26 | Professional | None | $426.58 | $537.03 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $3,090.30 Typical High $5,754.40 | Facility | None | $537.03 | $3,090.30 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $831.76 | Professional | None | $426.58 | $501.19 | $831.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $380.19 Median $478.63 Typical High $870.96 | Professional | None | $380.19 | $478.63 | $870.96 |
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 $199.53 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $323.59 Typical High $346.74 | Professional | 54 · Surgery only | $302.00 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $42.66 Typical High $46.77 | Professional | 56 · Pre-op care only | $39.81 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $302.00 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $281.84 | $302.00 | $323.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $707.95 Typical High $1,071.52 | Professional | 50 · Both sides | $588.84 | $707.95 | $1,071.52 |
Where California sits
The same service costs 7.9 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
$575
WY $2,344UT $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.