How much rates vary
Facilitymedian $1,288 · 10th to 90th $447 to $5,888Professionalmedian $447 · 10th to 90th $112 to $2,399
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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $1,584.89 | Professional | None | $371.54 | $407.38 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $4,897.79 Typical High $10,000.00 | Facility | None | $2,511.89 | $4,897.79 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $501.19 Typical High $794.33 | Professional | None | $112.20 | $501.19 | $794.33 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,348.96 Typical High $2,454.71 | Facility | None | $100.00 | $1,348.96 | $2,454.71 |
Blue Shield Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $660.69 | Professional | None | $234.42 | $331.13 | $660.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $426.58 | Professional | None | $100.00 | $123.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,412.54 | Facility | None | $512.86 | $741.31 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $1,258.93 | Professional | None | $346.74 | $537.03 | $1,258.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $288.40 Typical High $758.58 | Professional | None | $102.33 | $288.40 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $2,754.23 | Facility | None | $467.74 | $758.58 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $1,548.82 | Professional | None | $338.84 | $524.81 | $1,548.82 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,202.26 Typical High $4,677.35 | Facility | None | $398.11 | $1,202.26 | $4,677.35 |
United Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $1,122.02 | Professional | None | $251.19 | $416.87 | $1,122.02 |
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 $186.21 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $302.00 Typical High $316.23 | Professional | 54 · Surgery only | $281.84 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $56.23 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $40.74 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $40.74 | $41.69 |
Where California sits
The same service costs 4.1 times more in Alaska 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· 30th of 51
$501
AK $1,318KY $324
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.