How much rates vary
Facilitymedian $1,950 · 10th to 90th $537 to $8,710Professionalmedian $603 · 10th to 90th $468 to $4,571
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 $501.19 Median $537.03 Typical High $776.25 | Professional | None | $501.19 | $537.03 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $1,819.70 | Professional | None | $537.03 | $575.44 | $1,819.70 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,202.26 Typical High $8,709.64 | Facility | None | $100.00 | $1,202.26 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $676.08 | Professional | None | $363.08 | $512.86 | $676.08 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $724.44 | Professional | None | $501.19 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,698.24 Typical High $3,630.78 | Facility | None | $758.58 | $1,698.24 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $1,174.90 | Professional | None | $467.74 | $616.60 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $645.65 Typical High $870.96 | Professional | None | $354.81 | $645.65 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $1,479.11 | Professional | None | $524.81 | $660.69 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $4,570.88 Median $5,623.41 Typical High $5,623.41 | Professional | None | $4,570.88 | $5,623.41 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $5,888.44 | Facility | None | $724.44 | $1,778.28 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,047.13 | Professional | None | $467.74 | $602.56 | $1,047.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $4,786.30 | Facility | None | $398.11 | $1,230.27 | $4,786.30 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,096.48 | Professional | None | $467.74 | $602.56 | $1,096.48 |
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 $251.19 Median $269.15 Typical High $295.12 | Professional | 52 · Reduced service | $251.19 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $107.15 Typical High $117.49 | Professional | 53 · Discontinued | $100.00 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $398.11 Typical High $436.52 | Professional | 54 · Surgery only | $380.19 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $79.43 Typical High $87.10 | Professional | 55 · Aftercare only | $75.86 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $53.70 Typical High $58.88 | Professional | 56 · Pre-op care only | $50.12 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $371.54 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $354.81 | $371.54 | $407.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $912.01 Typical High $1,445.44 | Professional | 50 · Both sides | $741.31 | $912.01 | $1,445.44 |
Where California sits
The same service costs 7.6 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
$692
AK $2,512UT $331
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.