How much rates vary
Facilitymedian $1,047 · 10th to 90th $363 to $10,715Professionalmedian $1,096 · 10th to 90th $912 to $5,012
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 $912.01 Median $954.99 Typical High $1,621.81 | Professional | None | $912.01 | $954.99 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $7,943.28 Typical High $16,982.44 | Facility | None | $3,630.78 | $7,943.28 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $3,801.89 | Professional | None | $1,000.00 | $1,047.13 | $3,801.89 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,000.00 Typical High $11,220.18 | Facility | None | $100.00 | $1,000.00 | $11,220.18 |
Blue Shield Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,318.26 | Professional | None | $691.83 | $977.24 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $501.19 Typical High $1,000.00 | Facility | None | $56.23 | $501.19 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,041.74 | Professional | None | $977.24 | $1,148.15 | $2,041.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,148.15 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $3,090.30 | Professional | None | $954.99 | $1,202.26 | $3,090.30 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Molina 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 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $537.03 Typical High $1,148.15 | Facility | None | $58.88 | $537.03 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,905.46 | Professional | None | $977.24 | $1,122.02 | $1,905.46 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,202.26 Typical High $4,677.35 | Facility | None | $398.11 | $1,202.26 | $4,677.35 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,995.26 | Professional | None | $891.25 | $1,122.02 | $1,995.26 |
3 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 54 · Surgery only Typical Low $676.08 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $676.08 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $676.08 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $676.08 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,659.59 Typical High $2,398.83 | Professional | 50 · Both sides | $1,380.38 | $1,659.59 | $2,398.83 |
Where California sits
The same service costs 6.3 times more in Wyoming than in Texas. 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· 41st of 51
$1,096
WY $3,388TX $537
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.