How much rates vary
Facilitymedian $2,630 · 10th to 90th $661 to $11,749Professionalmedian $646 · 10th to 90th $525 to $4,677
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 $2,238.72 Median $7,585.78 Typical High $18,197.01 | Facility | None | $2,238.72 | $7,585.78 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $794.33 | Professional | None | $537.03 | $562.34 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $10,232.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $2,187.76 | Professional | None | $588.84 | $602.56 | $2,187.76 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $9,120.11 | Facility | None | $100.00 | $1,949.84 | $9,120.11 |
Blue Shield Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $812.83 | Professional | None | $426.58 | $602.56 | $812.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $831.76 | Professional | None | $575.44 | $758.58 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $5,011.87 | Facility | None | $758.58 | $2,691.53 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,148.15 | Professional | None | $549.54 | $645.65 | $1,148.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $912.01 | Professional | None | $436.52 | $676.08 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,621.81 | Professional | None | $549.54 | $691.83 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $2,691.53 Typical High $5,888.44 | Facility | None | $741.31 | $2,691.53 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $1,071.52 | Professional | None | $549.54 | $630.96 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $10,232.93 | Facility | None | $660.69 | $1,230.27 | $10,232.93 |
United Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,122.02 | Professional | None | $489.78 | $630.96 | $1,122.02 |
8 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 $263.03 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $263.03 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $426.58 Typical High $457.09 | Professional | 54 · Surgery only | $398.11 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $91.20 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $398.11 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $371.54 | $398.11 | $426.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $933.25 Typical High $1,318.26 | Professional | 50 · Both sides | $758.58 | $933.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $316.23 Median $380.19 Typical High $549.54 | Professional | 62 · Two surgeons | $316.23 | $380.19 | $549.54 |
Where California sits
The same service costs 8.5 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· 37th of 51
$708
WY $3,020UT $355
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.