How much rates vary
Facilitymedian $2,570 · 10th to 90th $891 to $9,550Professionalmedian $1,175 · 10th to 90th $871 to $10,233
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,122.02 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $4,677.35 | Professional | None | $954.99 | $1,000.00 | $4,677.35 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,584.89 Typical High $7,585.78 | Facility | None | $100.00 | $1,584.89 | $7,585.78 |
Blue Shield Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,288.25 | Professional | None | $630.96 | $912.01 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,884.03 Typical High $4,786.30 | Facility | None | $645.65 | $2,884.03 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,258.93 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $6,456.54 Typical High $15,135.61 | Professional | None | $1,737.80 | $6,456.54 | $15,135.61 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $11,220.18 Typical High $11,220.18 | Professional | None | $10,232.93 | $11,220.18 | $11,220.18 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $5,623.41 | Facility | None | $707.95 | $2,818.38 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,230.27 | $1,949.84 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,230.27 Typical High $10,232.93 | Facility | None | $891.25 | $1,230.27 | $10,232.93 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,511.89 | Professional | None | $954.99 | $1,202.26 | $2,511.89 |
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 $489.78 Median $549.54 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $223.87 Typical High $234.42 | Professional | 53 · Discontinued | $194.98 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $831.76 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $831.76 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | 56 · Pre-op care only | $97.72 | $112.20 | $117.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,621.81 Typical High $2,344.23 | Professional | 50 · Both sides | $1,318.26 | $1,621.81 | $2,344.23 |
Where California sits
The same service costs 4.8 times more in Alaska than in New York. 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
$1,230
AK $5,129NY $1,072
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.