How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,000 to $19,953Professionalmedian $8,128 · 10th to 90th $871 to $47,863
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 $3,467.37 Median $8,511.38 Typical High $18,197.01 | Facility | None | $3,467.37 | $8,511.38 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $5,623.41 Median $9,549.93 Typical High $10,000.00 | Professional | None | $5,623.41 | $9,549.93 | $10,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $12,022.64 Typical High $20,892.96 | Facility | None | $6,456.54 | $12,022.64 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $10,715.19 Typical High $36,307.81 | Professional | None | $3,548.13 | $10,715.19 | $36,307.81 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $2,691.53 Typical High $7,244.36 | Facility | None | $97.72 | $2,691.53 | $7,244.36 |
Blue Shield Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,621.81 | Professional | None | $676.08 | $954.99 | $1,621.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | None | $870.96 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $11,748.98 Typical High $21,379.62 | Facility | None | $758.58 | $11,748.98 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $15,488.17 | Professional | None | $724.44 | $891.25 | $15,488.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | None | $12,302.69 | $12,302.69 | $12,302.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,659.59 | Professional | None | $870.96 | $954.99 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $47,863.01 Median $47,863.01 Typical High $47,863.01 | Professional | None | $47,863.01 | $47,863.01 | $47,863.01 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $11,748.98 Typical High $20,417.38 | Facility | None | $812.83 | $11,748.98 | $20,417.38 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,621.81 | Professional | None | $812.83 | $851.14 | $1,621.81 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $9,772.37 Typical High $29,512.09 | Facility | None | $4,265.80 | $9,772.37 | $29,512.09 |
United Setting Professional Modifier None Typical Low $7,762.47 Median $11,481.54 Typical High $29,512.09 | Professional | None | $7,762.47 | $11,481.54 | $29,512.09 |
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 $3,467.37 Median $4,786.30 Typical High $5,011.87 | Professional | 52 · Reduced service | $3,467.37 | $4,786.30 | $5,011.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,380.38 Median $1,905.46 Typical High $1,995.26 | Professional | 53 · Discontinued | $1,380.38 | $1,905.46 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,897.79 Median $7,079.46 Typical High $7,413.10 | Professional | 54 · Surgery only | $4,897.79 | $7,079.46 | $7,413.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,047.13 Median $1,412.54 Typical High $1,479.11 | Professional | 55 · Aftercare only | $1,047.13 | $1,412.54 | $1,479.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $691.83 Median $954.99 Typical High $1,000.00 | Professional | 56 · Pre-op care only | $691.83 | $954.99 | $1,000.00 |
Where California sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 44th of 51
$7,762
IN $18,197NE $1,096
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.