How much rates vary
Facilitymedian $724 · 10th to 90th $324 to $6,310Professionalmedian $631 · 10th to 90th $447 to $1,778
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 $912.01 Median $8,128.31 Typical High $18,620.87 | Facility | None | $912.01 | $8,128.31 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,096.48 | Professional | None | $524.81 | $616.60 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | None | $457.09 | $457.09 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $1,995.26 | Professional | None | $446.68 | $457.09 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $831.76 Typical High $4,570.88 | Facility | None | $100.00 | $831.76 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $891.25 | Professional | None | $467.74 | $660.69 | $891.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $741.31 | Professional | None | $478.63 | $588.84 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,148.15 | Facility | None | $363.08 | $524.81 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $870.96 | Professional | None | $467.74 | $602.56 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $575.44 Typical High $707.95 | Professional | None | $426.58 | $575.44 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $1,258.93 | Professional | None | $446.68 | $588.84 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,365.16 | Professional | None | $3,801.89 | $3,801.89 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $724.44 | Professional | None | $436.52 | $436.52 | $724.44 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $2,454.71 | Facility | None | $389.05 | $602.56 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $851.14 | Professional | None | $467.74 | $588.84 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,698.24 | Professional | None | $1,621.81 | $1,621.81 | $1,698.24 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $3,019.95 | Facility | None | $323.59 | $323.59 | $3,019.95 |
United Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $977.24 | Professional | None | $398.11 | $537.03 | $977.24 |
13 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 Facility Modifier 52 · Reduced service Typical Low $269.15 Median $295.12 Typical High $323.59 | Facility | 52 · Reduced service | $269.15 | $295.12 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $128.82 | Facility | 53 · Discontinued | $107.15 | $120.23 | $128.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $407.38 Median $446.68 Typical High $478.63 | Facility | 54 · Surgery only | $407.38 | $446.68 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $81.28 Median $89.13 Typical High $95.50 | Facility | 55 · Aftercare only | $81.28 | $89.13 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $58.88 Typical High $64.57 | Facility | 56 · Pre-op care only | $53.70 | $58.88 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $416.87 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $380.19 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $426.58 Typical High $478.63 | Professional | 54 · Surgery only | $398.11 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $95.50 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | 56 · Pre-op care only | $53.70 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $371.54 | $398.11 | $446.68 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $776.25 Typical High $1,348.96 | Professional | 50 · Both sides | $645.65 | $776.25 | $1,348.96 |
Where California sits
The same service costs 6.2 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· 31st of 51
$631
AK $1,995UT $324
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.