How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,230 to $13,490Professionalmedian $1,230 · 10th to 90th $1,023 to $6,166
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 $977.24 Median $1,047.13 Typical High $1,621.81 | Professional | None | $977.24 | $1,047.13 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $11,220.18 Typical High $20,417.38 | Facility | None | $5,370.32 | $11,220.18 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $4,265.80 | Professional | None | $1,071.52 | $1,096.48 | $4,265.80 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,951.21 Typical High $10,471.29 | Facility | None | $100.00 | $2,951.21 | $10,471.29 |
Blue Shield Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,659.59 | Professional | None | $870.96 | $1,230.27 | $1,659.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,311.31 Typical High $6,606.93 | Facility | None | $851.14 | $3,311.31 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,202.26 | $2,344.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $1,995.26 | Professional | None | $851.14 | $1,479.11 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,479.11 | $3,019.95 |
Lucent Health Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | None | $10,964.78 | $10,964.78 | $10,964.78 |
Molina 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 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $8,317.64 | Facility | None | $912.01 | $3,388.44 | $8,317.64 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,202.26 | $2,137.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,238.72 | Professional | None | $977.24 | $1,318.26 | $2,238.72 |
10 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 $489.78 Median $524.81 Typical High $602.56 | Professional | 52 · Reduced service | $489.78 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $239.88 | Professional | 53 · Discontinued | $194.98 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $776.25 Typical High $912.01 | Professional | 54 · Surgery only | $741.31 | $776.25 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $154.88 Typical High $181.97 | Professional | 55 · Aftercare only | $147.91 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $120.23 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $724.44 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $691.83 | $724.44 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,737.80 Typical High $2,754.23 | Professional | 50 · Both sides | $1,412.54 | $1,737.80 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $724.44 Typical High $1,148.15 | Professional | 62 · Two surgeons | $588.84 | $724.44 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $186.21 Typical High $295.12 | Professional | 80 · Assistant surgeon | $151.36 | $186.21 | $295.12 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $162.18 Typical High $257.04 | Professional | AS · PA/NP assist | $131.83 | $162.18 | $257.04 |
Where California sits
The same service costs 7.1 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
$1,413
AK $5,370UT $759
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.