How much rates vary
Facilitymedian $363 · 10th to 90th $71 to $4,169Professionalmedian $81 · 10th to 90th $56 to $195
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 $63.10 Median $81.28 Typical High $114.82 | Facility | None | $63.10 | $81.28 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $134.90 | Professional | None | $58.88 | $85.11 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $218.78 | Professional | None | $79.43 | $83.18 | $218.78 |
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 $67.61 Median $69.18 Typical High $190.55 | Professional | None | $67.61 | $69.18 | $190.55 |
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 $54.95 Median $79.43 Typical High $123.03 | Professional | None | $54.95 | $79.43 | $123.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $141.25 | Professional | None | $67.61 | $100.00 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $173.78 | Facility | None | $52.48 | $83.18 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $123.03 | Professional | None | $57.54 | $79.43 | $123.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $112.20 | Professional | None | $60.26 | $83.18 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $173.78 | Professional | None | $53.70 | $89.13 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | None | $64.57 | $64.57 | $107.15 |
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 $57.54 Median $87.10 Typical High $190.55 | Facility | None | $57.54 | $87.10 | $190.55 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $120.23 | Professional | None | $57.54 | $79.43 | $120.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
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 $44.67 Median $72.44 Typical High $131.83 | Professional | None | $44.67 | $72.44 | $131.83 |
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 $31.62 Median $33.88 Typical High $47.86 | Facility | 52 · Reduced service | $31.62 | $33.88 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $19.05 | Facility | 53 · Discontinued | $12.59 | $13.49 | $19.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $10.23 Typical High $14.45 | Facility | 55 · Aftercare only | $9.33 | $10.23 | $14.45 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.76 Typical High $9.55 | Facility | 56 · Pre-op care only | $6.31 | $6.76 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $29.51 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $11.75 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.47 Typical High $13.18 | Professional | 55 · Aftercare only | $8.91 | $10.47 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.92 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.89 | $6.92 | $8.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $104.71 Typical High $154.88 | Professional | 50 · Both sides | $83.18 | $104.71 | $154.88 |
Where California sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$83.18
AK $219FL $63.10
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.