How much rates vary
Facilitymedian $11,220 · 10th to 90th $933 to $38,905Professionalmedian $646 · 10th to 90th $490 to $5,623
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 $446.68 Median $467.74 Typical High $5,370.32 | Professional | None | $446.68 | $467.74 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $12,302.69 Typical High $21,379.62 | Facility | None | $6,456.54 | $12,302.69 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $1,122.02 | Professional | None | $501.19 | $524.81 | $1,122.02 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $1,513.56 Typical High $5,495.41 | Facility | None | $91.20 | $1,513.56 | $5,495.41 |
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 $25,703.96 Typical High $46,773.51 | Facility | None | $758.58 | $25,703.96 | $46,773.51 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | None | $524.81 | $524.81 | $660.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $27,542.29 Median $27,542.29 Typical High $27,542.29 | Professional | None | $27,542.29 | $27,542.29 | $27,542.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,584.89 | Professional | None | $812.83 | $912.01 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,623.41 | Professional | None | $3,715.35 | $3,715.35 | $5,623.41 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $25,118.86 Typical High $44,668.36 | Facility | None | $707.95 | $25,118.86 | $44,668.36 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $933.25 | Professional | None | $891.25 | $912.01 | $933.25 |
United Setting Facility Modifier None Typical Low $12,022.64 Median $23,988.33 Typical High $56,234.13 | Facility | None | $12,022.64 | $23,988.33 | $56,234.13 |
United Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $1,737.80 | Professional | None | $407.38 | $602.56 | $1,737.80 |
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 $213.80 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $213.80 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $97.72 | Professional | 53 · Discontinued | $85.11 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | 54 · Surgery only | $323.59 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $70.79 Typical High $74.13 | Professional | 55 · Aftercare only | $64.57 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $46.77 Typical High $48.98 | Professional | 56 · Pre-op care only | $42.66 | $46.77 | $48.98 |
Where California sits
The same service costs 29.5 times more in Louisiana than in Maine. 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
$1,950
LA $16,982ME $575
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.