How much rates vary
Facilitymedian $347 · 10th to 90th $89 to $2,818Professionalmedian $72 · 10th to 90th $49 to $182
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 $53.70 Median $79.43 Typical High $239.88 | Facility | None | $53.70 | $79.43 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $134.90 | Professional | None | $48.98 | $74.13 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $97.72 Typical High $104.71 | Professional | None | $16.98 | $97.72 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $165.96 | Professional | None | $56.23 | $58.88 | $165.96 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $1,479.11 | Facility | None | $95.50 | $416.87 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $114.82 | Professional | None | $43.65 | $69.18 | $114.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $43.65 Median $100.00 Typical High $138.04 | Professional | None | $43.65 | $100.00 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $104.71 Typical High $223.87 | Facility | None | $53.70 | $104.71 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $128.82 | Professional | None | $56.23 | $83.18 | $128.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $134.90 | Professional | None | $39.81 | $66.07 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $102.33 Typical High $190.55 | Professional | None | $38.02 | $102.33 | $190.55 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | None | $70.79 | $70.79 | $120.23 |
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 $50.12 Median $102.33 Typical High $218.78 | Facility | None | $50.12 | $102.33 | $218.78 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $125.89 | Professional | None | $56.23 | $81.28 | $125.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $269.15 | Professional | None | $134.90 | $134.90 | $269.15 |
United Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $1,096.48 | Facility | None | $194.98 | $354.81 | $1,096.48 |
United Setting Professional Modifier None Typical Low $35.48 Median $69.18 Typical High $134.90 | Professional | None | $35.48 | $69.18 | $134.90 |
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 $26.92 Median $28.84 Typical High $43.65 | Facility | 52 · Reduced service | $26.92 | $28.84 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $17.38 | Facility | 53 · Discontinued | $10.72 | $11.48 | $17.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.13 Median $8.71 Typical High $13.18 | Facility | 55 · Aftercare only | $8.13 | $8.71 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.75 Typical High $8.71 | Facility | 56 · Pre-op care only | $5.37 | $5.75 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $25.12 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $13.80 Typical High $16.98 | Professional | 53 · Discontinued | $10.23 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.23 Typical High $12.59 | Professional | 55 · Aftercare only | $7.59 | $10.23 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.92 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.13 | $6.92 | $8.51 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $104.71 Typical High $128.82 | Professional | 50 · Both sides | $66.07 | $104.71 | $128.82 |
Where California sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 35th of 51
$79.43
AK $214VA $56.23
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.