How much rates vary
Facilitymedian $1,995 · 10th to 90th $891 to $9,550Professionalmedian $2,239 · 10th to 90th $1,820 to $19,498
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 $1,905.46 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,905.46 | $2,089.30 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $5,495.41 | Professional | None | $1,862.09 | $1,905.46 | $5,495.41 |
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 $1,479.11 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,479.11 | $2,089.30 | $3,019.95 |
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 $2,089.30 Median $2,344.23 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,344.23 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $7,943.28 Typical High $19,054.61 | Professional | None | $1,737.80 | $7,943.28 | $19,054.61 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $20,892.96 Typical High $20,892.96 | Professional | None | $19,498.45 | $20,892.96 | $20,892.96 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,951.21 Typical High $5,623.41 | Facility | None | $707.95 | $2,951.21 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,344.23 | $3,715.35 |
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 $1,819.70 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,290.87 | $4,677.35 |
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 $933.25 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $933.25 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $416.87 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,584.89 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,380.38 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $316.23 Typical High $331.13 | Professional | 55 · Aftercare only | $281.84 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $208.93 Typical High $218.78 | Professional | 56 · Pre-op care only | $186.21 | $208.93 | $218.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $3,019.95 Typical High $3,715.35 | Professional | 50 · Both sides | $1,995.26 | $3,019.95 | $3,715.35 |
Where California sits
The same service costs 7.1 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· 43rd of 51
$2,239
AK $9,772KY $1,380
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.