How much rates vary
Facilitymedian $3,311 · 10th to 90th $813 to $10,000Professionalmedian $355 · 10th to 90th $151 to $2,818
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $346.74 | Professional | None | $323.59 | $331.13 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $10,471.29 | Facility | None | $2,511.89 | $5,248.07 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $218.78 | Professional | None | $123.03 | $151.36 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $1,318.26 Typical High $3,162.28 | Facility | None | $97.72 | $1,318.26 | $3,162.28 |
Blue Shield Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $660.69 | Professional | None | $354.81 | $512.86 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,715.35 Typical High $6,606.93 | Facility | None | $758.58 | $3,715.35 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,467.37 | Professional | None | $3,235.94 | $3,235.94 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $891.25 | Professional | None | $457.09 | $549.54 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,818.38 | $2,818.38 | $3,715.35 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $3,890.45 Typical High $10,000.00 | Facility | None | $676.08 | $3,890.45 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $2,089.30 | Professional | None | $489.78 | $524.81 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $602.56 | Professional | None | $288.40 | $363.08 | $602.56 |
6 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 $165.96 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $251.19 Typical High $263.03 | Professional | 54 · Surgery only | $245.47 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $50.12 Typical High $52.48 | Professional | 55 · Aftercare only | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $34.67 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $138.04 Typical High $173.78 | Professional | 50 · Both sides | $114.82 | $138.04 | $173.78 |
Where California sits
The same service costs 28.2 times more in Texas than in Kentucky. 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· 34th of 51
$398
TX $2,570KY $91.20
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.