How much rates vary
Facilitymedian $417 · 10th to 90th $120 to $6,607Professionalmedian $224 · 10th to 90th $141 to $891
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 $269.15 Median $6,918.31 Typical High $18,197.01 | Facility | None | $269.15 | $6,918.31 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $251.19 Typical High $537.03 | Professional | None | $151.36 | $251.19 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $524.81 | Professional | None | $141.25 | $144.54 | $524.81 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $416.87 Typical High $1,479.11 | Facility | None | $97.72 | $416.87 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $295.12 | Professional | None | $125.89 | $181.97 | $295.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $457.09 | Professional | None | $165.96 | $338.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $245.47 Typical High $512.86 | Facility | None | $53.70 | $245.47 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $426.58 | Professional | None | $141.25 | $223.87 | $426.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $457.09 | Professional | None | $181.97 | $218.78 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $338.84 Typical High $645.65 | Professional | None | $162.18 | $338.84 | $645.65 |
Lucent Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,089.30 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | None | $234.42 | $234.42 | $398.11 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $251.19 Typical High $537.03 | Facility | None | $61.66 | $251.19 | $537.03 |
Providence Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $354.81 | Professional | None | $141.25 | $218.78 | $354.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | None | $512.86 | $512.86 | $891.25 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None Typical Low $128.82 Median $218.78 Typical High $457.09 | Professional | None | $128.82 | $218.78 | $457.09 |
9 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 $75.86 Median $81.28 Typical High $151.36 | Facility | 52 · Reduced service | $75.86 | $81.28 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $60.26 | Facility | 53 · Discontinued | $30.20 | $32.36 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $24.55 Typical High $44.67 | Facility | 55 · Aftercare only | $22.91 | $24.55 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.22 Typical High $30.20 | Facility | 56 · Pre-op care only | $15.14 | $16.22 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $104.71 Typical High $138.04 | Professional | 52 · Reduced service | $70.79 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $28.18 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $154.88 Typical High $208.93 | Professional | 54 · Surgery only | $107.15 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $33.11 Typical High $41.69 | Professional | 55 · Aftercare only | $21.38 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $22.39 Typical High $28.18 | Professional | 56 · Pre-op care only | $14.13 | $22.39 | $28.18 |
Where California sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$229
AK $661MD $182
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.