How much rates vary
Facilitymedian $5,623 · 10th to 90th $759 to $18,197Professionalmedian $1,445 · 10th to 90th $794 to $8,511
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 $2,511.89 Median $6,456.54 Typical High $16,218.10 | Facility | None | $2,511.89 | $6,456.54 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $2,344.23 Typical High $11,220.18 | Professional | None | $64.57 | $2,344.23 | $11,220.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $13,803.84 Typical High $23,988.33 | Facility | None | $7,762.47 | $13,803.84 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,445.44 | $1,949.84 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $977.24 Typical High $7,079.46 | Facility | None | $69.18 | $977.24 | $7,079.46 |
Blue Shield Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $5,623.41 | Facility | None | $660.69 | $1,148.15 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Contra Costa Health Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $13,803.84 | Professional | None | $12,882.50 | $12,882.50 | $13,803.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,819.70 | Professional | None | $912.01 | $1,096.48 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $8,511.38 | Professional | None | $4,570.88 | $4,570.88 | $8,511.38 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $5,623.41 | Facility | None | $660.69 | $1,202.26 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $4,365.16 | Professional | None | $1,000.00 | $1,071.52 | $4,365.16 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $6,606.93 Typical High $18,620.87 | Facility | None | $2,818.38 | $6,606.93 | $18,620.87 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,584.89 | Professional | None | $794.33 | $1,000.00 | $1,584.89 |
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 $32.36 Median $354.81 Typical High $512.86 | Professional | 52 · Reduced service | $32.36 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $141.25 Typical High $208.93 | Professional | 53 · Discontinued | $12.88 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $457.09 Typical High $776.25 | Professional | 54 · Surgery only | $48.98 | $457.09 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $107.15 Typical High $154.88 | Professional | 55 · Aftercare only | $9.77 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,041.74 Typical High $2,454.71 | Professional | 50 · Both sides | $1,659.59 | $2,041.74 | $2,454.71 |
Where California sits
The same service costs 50.1 times more in Oklahoma than in North Carolina. 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· 10th of 51
$2,188
OK $5,012NC $100
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.