How much rates vary
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 $478.63 Median $5,128.61 Typical High $15,135.61 | Facility | None | $478.63 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $85.11 | Professional | None | $72.44 | $77.62 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $239.88 | Professional | None | $64.57 | $70.79 | $239.88 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $1,202.26 Typical High $5,011.87 | Facility | None | $95.50 | $1,202.26 | $5,011.87 |
Blue Shield Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $134.90 | Professional | None | $61.66 | $87.10 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $147.91 | Professional | None | $79.43 | $109.65 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $2,691.53 | Facility | None | $398.11 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $147.91 | Professional | None | $83.18 | $93.33 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $131.83 | Professional | None | $79.43 | $95.50 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $229.09 | Professional | None | $75.86 | $109.65 | $229.09 |
Lucent Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | None | $794.33 | $794.33 | $870.96 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | None | $83.18 | $83.18 | $138.04 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $426.58 Typical High $2,398.83 | Facility | None | $93.33 | $426.58 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $147.91 | Professional | None | $83.18 | $93.33 | $147.91 |
Sutter Health Plus Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
United Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $3,090.30 | Facility | None | $123.03 | $501.19 | $3,090.30 |
United Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $177.83 | Professional | None | $70.79 | $91.20 | $177.83 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $51.29 Median $66.07 Typical High $97.72 | Professional | 62 · Two surgeons | $51.29 | $66.07 | $97.72 |
Where California sits
The same service costs 4.1 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· 43rd of 51
$93.33
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.