How much rates vary
Facilitymedian $65 · 10th to 90th $0 to $602,560Professionalmedian $562,341 · 10th to 90th $562,341 to $1,995,262
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 $562,341.33 Median $562,341.33 Typical High $1,348,962.88 | Facility | None | $562,341.33 | $562,341.33 | $1,348,962.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $676,082.98 | Facility | 52 · Reduced service | $281,838.29 | $281,838.29 | $676,082.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112,201.85 Median $114,815.36 Typical High $269,153.48 | Facility | 53 · Discontinued | $112,201.85 | $114,815.36 | $269,153.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $199,526.23 | Facility | 55 · Aftercare only | $85,113.80 | $85,113.80 | $199,526.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $134,896.29 | Facility | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $134,896.29 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $114,815.36 Typical High $114,815.36 | Professional | 53 · Discontinued | $112,201.85 | $114,815.36 | $114,815.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $56,234.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $1.74 | Facility | None | $0.02 | $0.02 | $1.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $407,380.28 Median $562,341.33 Typical High $1,122,018.45 | Professional | None | $407,380.28 | $562,341.33 | $1,122,018.45 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $512,861.38 Typical High $660,693.45 | Facility | None | $72.44 | $512,861.38 | $660,693.45 |
Blue Shield Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $691,830.97 | Professional | None | $562,341.33 | $562,341.33 | $691,830.97 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $562,341.33 Median $616,595.00 Typical High $616,595.00 | Professional | None | $562,341.33 | $616,595.00 | $616,595.00 |
Cigna Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $676,082.98 | Professional | None | $537,031.80 | $537,031.80 | $676,082.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $89,125.09 Median $537,031.80 Typical High $588,843.66 | Professional | None | $89,125.09 | $537,031.80 | $588,843.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478,630.09 Median $537,031.80 Typical High $933,254.30 | Professional | None | $478,630.09 | $537,031.80 | $933,254.30 |
Lucent Health Setting Professional Modifier None Typical Low $1,995,262.31 Median $1,995,262.31 Typical High $1,995,262.31 | Professional | None | $1,995,262.31 | $1,995,262.31 | $1,995,262.31 |
Providence Setting Professional Modifier None Typical Low $467,735.14 Median $616,595.00 Typical High $870,963.59 | Professional | None | $467,735.14 | $616,595.00 | $870,963.59 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $32,359.37 Median $660,693.45 Typical High $891,250.94 | Professional | None | $32,359.37 | $660,693.45 | $891,250.94 |
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· 43rd of 51
$562,341
MS $676,083NJ $537,032
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.