How much rates vary
Facilitymedian $3,631 · 10th to 90th $95 to $7,079Professionalmedian $2,570 · 10th to 90th $2,455 to $5,370
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 $2,570.40 Typical High $4,466.84 | Facility | None | $2,570.40 | $2,570.40 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,265.80 Typical High $8,709.64 | Facility | None | $2,754.23 | $4,265.80 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,454.71 | $2,454.71 | $3,311.31 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $2,511.89 Typical High $4,265.80 | Facility | None | $77.62 | $2,511.89 | $4,265.80 |
Blue Shield Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,570.40 | $2,570.40 | $3,162.28 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,570.40 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $6,309.57 | Facility | None | $2,630.27 | $4,570.88 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,454.71 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $4,265.80 | Professional | None | $2,187.76 | $2,454.71 | $4,265.80 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,715.19 | $10,715.19 | $10,715.19 |
Molina Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Providence Setting Facility Modifier None Typical Low $2,570.40 Median $4,466.84 Typical High $6,760.83 | Facility | None | $2,570.40 | $4,466.84 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $6,606.93 | Facility | None | $2,570.40 | $2,570.40 | $6,606.93 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,454.71 | $2,951.21 |
5 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 $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,258.93 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,905.46 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $380.19 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Where California sits
Rates are fairly even across states for this service. 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· 19th of 51
$2,570
AK $3,020KS $2,570
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.