How much rates vary
Facilitymedian $1,905 · 10th to 90th $891 to $8,710Professionalmedian $851 · 10th to 90th $692 to $7,413
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 $724.44 Median $794.33 Typical High $891.25 | Professional | None | $724.44 | $794.33 | $891.25 |
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 $707.95 Median $724.44 Typical High $1,905.46 | Professional | None | $707.95 | $724.44 | $1,905.46 |
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 $562.34 Median $794.33 Typical High $1,148.15 | Professional | None | $562.34 | $794.33 | $1,148.15 |
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 $794.33 Median $912.01 Typical High $1,479.11 | Professional | None | $794.33 | $912.01 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $3,388.44 | Professional | None | $1,047.13 | $1,584.89 | $3,388.44 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $8,128.31 Typical High $8,128.31 | Professional | None | $7,413.10 | $8,128.31 | $8,128.31 |
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 $794.33 Median $891.25 Typical High $1,412.54 | Professional | None | $794.33 | $891.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $7,244.36 | Facility | None | $891.25 | $912.01 | $7,244.36 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,778.28 | Professional | None | $691.83 | $870.96 | $1,778.28 |
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 $354.81 Median $398.11 Typical High $426.58 | Professional | 52 · Reduced service | $354.81 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $169.82 | Professional | 53 · Discontinued | $141.25 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $602.56 Typical High $630.96 | Professional | 54 · Surgery only | $537.03 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | 55 · Aftercare only | $107.15 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $79.43 Typical High $85.11 | Professional | 56 · Pre-op care only | $70.79 | $79.43 | $85.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,148.15 Typical High $1,584.89 | Professional | 50 · Both sides | $933.25 | $1,148.15 | $1,584.89 |
Where California sits
The same service costs 5.0 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· 46th of 51
$912
AK $3,715KY $741
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.