How much rates vary
Facilitymedian $3,162 · 10th to 90th $933 to $10,965Professionalmedian $1,000 · 10th to 90th $813 to $7,586
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 $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,096.48 | Professional | None | $812.83 | $933.25 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $3,311.31 | Professional | None | $891.25 | $912.01 | $3,311.31 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $7,585.78 | Facility | None | $100.00 | $1,949.84 | $7,585.78 |
Blue Shield Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,288.25 | Professional | None | $676.08 | $954.99 | $1,288.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,258.93 | Professional | None | $707.95 | $1,096.48 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $5,011.87 | Facility | None | $645.65 | $2,630.27 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,819.70 | Professional | None | $851.14 | $977.24 | $1,819.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $501.19 Median $1,122.02 Typical High $1,513.56 | Professional | None | $501.19 | $1,122.02 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,344.23 | Professional | None | $912.01 | $1,148.15 | $2,344.23 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,762.47 | Professional | None | $7,585.78 | $7,585.78 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,630.27 Typical High $5,888.44 | Facility | None | $707.95 | $2,630.27 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,698.24 | Professional | None | $831.76 | $977.24 | $1,698.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 $776.25 Median $1,023.29 Typical High $1,778.28 | Professional | None | $776.25 | $1,023.29 | $1,778.28 |
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 $398.11 Median $426.58 Typical High $489.78 | Professional | 52 · Reduced service | $398.11 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $194.98 | Professional | 53 · Discontinued | $162.18 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $645.65 Typical High $724.44 | Professional | 54 · Surgery only | $602.56 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | 55 · Aftercare only | $120.23 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $85.11 Typical High $97.72 | Professional | 56 · Pre-op care only | $79.43 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $602.56 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $562.34 | $602.56 | $676.08 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,412.54 Typical High $2,187.76 | Professional | 50 · Both sides | $1,122.02 | $1,412.54 | $2,187.76 |
Where California sits
The same service costs 7.2 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· 36th of 51
$1,122
AK $4,266UT $589
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.