How much rates vary
Facilitymedian $589 · 10th to 90th $79 to $6,310Professionalmedian $93 · 10th to 90th $52 to $347
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 $104.71 Median $6,918.31 Typical High $18,197.01 | Facility | None | $104.71 | $6,918.31 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $181.97 | Professional | None | $53.70 | $95.50 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $288.40 | Professional | None | $51.29 | $89.13 | $288.40 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $1,479.11 | Facility | None | $95.50 | $416.87 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $123.03 | Professional | None | $42.66 | $69.18 | $123.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $194.98 | Professional | None | $46.77 | $60.26 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $676.08 | Facility | None | $50.12 | $61.66 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $194.98 | Professional | None | $58.88 | $102.33 | $194.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $190.55 | Professional | None | $38.90 | $60.26 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $141.25 Typical High $263.03 | Professional | None | $50.12 | $141.25 | $263.03 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,122.02 | Professional | None | $977.24 | $977.24 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $190.55 | Professional | None | $114.82 | $114.82 | $190.55 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $676.08 | Facility | None | $50.12 | $79.43 | $676.08 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $181.97 | Professional | None | $58.88 | $102.33 | $181.97 |
Sutter Health Plus Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $467.74 | Professional | None | $199.53 | $199.53 | $467.74 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $245.47 | Professional | None | $48.98 | $107.15 | $245.47 |
11 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 Facility Modifier 52 · Reduced service Typical Low $28.18 Median $30.20 Typical High $57.54 | Facility | 52 · Reduced service | $28.18 | $30.20 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $22.91 | Facility | 53 · Discontinued | $11.48 | $12.02 | $22.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $42.66 Median $44.67 Typical High $85.11 | Facility | 54 · Surgery only | $42.66 | $44.67 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $8.91 Typical High $16.98 | Facility | 55 · Aftercare only | $8.51 | $8.91 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.03 Typical High $11.48 | Facility | 56 · Pre-op care only | $5.75 | $6.03 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $42.66 Typical High $57.54 | Professional | 52 · Reduced service | $26.92 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.98 Typical High $22.91 | Professional | 53 · Discontinued | $10.96 | $16.98 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $64.57 Typical High $85.11 | Professional | 54 · Surgery only | $40.74 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.88 Typical High $16.98 | Professional | 55 · Aftercare only | $8.13 | $12.88 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $8.51 Typical High $11.48 | Professional | 56 · Pre-op care only | $5.37 | $8.51 | $11.48 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $63.10 |
Where California sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 45th of 51
$100
AK $302NJ $85.11
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.