How much rates vary
Facilitymedian $2,344 · 10th to 90th $631 to $151,356Professionalmedian $1,175 · 10th to 90th $912 to $7,762
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 $1,174.90 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,174.90 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,174.90 | Professional | None | $812.83 | $1,000.00 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $14,791.08 | Facility | None | $1,148.15 | $1,513.56 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,995.26 | Professional | None | $977.24 | $1,174.90 | $1,995.26 |
Blue Shield Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,445.44 | Professional | None | $851.14 | $1,202.26 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $10,000.00 | Facility | None | $660.69 | $1,258.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,412.54 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,202.26 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $10,232.93 | Professional | None | $7,762.47 | $7,762.47 | $10,232.93 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $151,356.12 Typical High $251,188.64 | Facility | None | $812.83 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,819.70 | Professional | None | $870.96 | $1,202.26 | $1,819.70 |
4 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 $645.65 Median $741.31 Typical High $870.96 | Professional | 54 · Surgery only | $645.65 | $741.31 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $147.91 Typical High $173.78 | Professional | 55 · Aftercare only | $128.82 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $100.00 Typical High $117.49 | Professional | 56 · Pre-op care only | $87.10 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $691.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $602.56 | $691.83 | $812.83 |
Where California sits
The same service costs 16.2 times more in Alaska 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· 32nd of 51
$1,175
AK $3,090TX $191
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.