How much rates vary
Facilitymedian $1,413 · 10th to 90th $372 to $6,457Professionalmedian $135 · 10th to 90th $65 to $603
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 $60.26 Median $123.03 Typical High $288.40 | Professional | None | $60.26 | $123.03 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $371.54 | Professional | None | $66.07 | $134.90 | $371.54 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $707.95 Typical High $4,570.88 | Facility | None | $100.00 | $707.95 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $234.42 | Professional | None | $50.12 | $100.00 | $234.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $234.42 | Professional | None | $60.26 | $107.15 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,148.15 Typical High $1,862.09 | Facility | None | $426.58 | $1,148.15 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $263.03 | Professional | None | $67.61 | $141.25 | $263.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $229.09 | Professional | None | $64.57 | $87.10 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $169.82 Typical High $338.84 | Professional | None | $61.66 | $169.82 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $1,122.02 Typical High $2,754.23 | Facility | None | $177.83 | $1,122.02 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $263.03 | Professional | None | $67.61 | $141.25 | $263.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $501.19 | Professional | None | $223.87 | $223.87 | $501.19 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $316.23 | Professional | None | $57.54 | $125.89 | $316.23 |
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 $30.20 Median $30.20 Typical High $72.44 | Facility | 52 · Reduced service | $30.20 | $30.20 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $29.51 | Facility | 53 · Discontinued | $12.02 | $12.30 | $29.51 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $44.67 Median $45.71 Typical High $109.65 | Facility | 54 · Surgery only | $44.67 | $45.71 | $109.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.91 Median $9.12 Typical High $21.88 | Facility | 55 · Aftercare only | $8.91 | $9.12 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $14.45 | Facility | 56 · Pre-op care only | $6.03 | $6.03 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $29.51 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $23.44 Typical High $29.51 | Professional | 53 · Discontinued | $11.75 | $23.44 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $87.10 Typical High $109.65 | Professional | 54 · Surgery only | $43.65 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $17.38 Typical High $21.88 | Professional | 55 · Aftercare only | $8.71 | $17.38 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $5.89 | $11.75 | $14.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $229.09 Typical High $467.74 | Professional | 50 · Both sides | $97.72 | $229.09 | $467.74 |
Where California sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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· 36th of 51
$145
AK $437HI $89.13
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.