How much rates vary
Facilitymedian $355 · 10th to 90th $89 to $4,169Professionalmedian $138 · 10th to 90th $102 to $380
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 $104.71 Median $117.49 Typical High $144.54 | Facility | None | $104.71 | $117.49 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $239.88 | Professional | None | $104.71 | $131.83 | $239.88 |
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 $97.72 Median $120.23 Typical High $316.23 | Professional | None | $97.72 | $120.23 | $316.23 |
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 $100.00 Median $141.25 Typical High $199.53 | Professional | None | $100.00 | $141.25 | $199.53 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $199.53 | Professional | None | $89.13 | $125.89 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $114.82 Typical High $239.88 | Facility | None | $53.70 | $114.82 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $223.87 | Professional | None | $112.20 | $144.54 | $223.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $123.03 Typical High $194.98 | Professional | None | $69.18 | $123.03 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $331.13 | Professional | None | $102.33 | $158.49 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,230.27 | Professional | None | $1,071.52 | $1,071.52 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
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 $58.88 Median $125.89 Typical High $288.40 | Facility | None | $58.88 | $125.89 | $288.40 |
Providence Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $213.80 | Professional | None | $112.20 | $144.54 | $213.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | None | $371.54 | $371.54 | $467.74 |
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 $91.20 Median $131.83 Typical High $234.42 | Professional | None | $91.20 | $131.83 | $234.42 |
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 $52.48 Median $56.23 Typical High $72.44 | Facility | 52 · Reduced service | $52.48 | $56.23 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $28.84 | Facility | 53 · Discontinued | $21.38 | $22.39 | $28.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $16.98 Typical High $21.38 | Facility | 55 · Aftercare only | $15.85 | $16.98 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $11.22 Typical High $14.45 | Facility | 56 · Pre-op care only | $10.47 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $50.12 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $28.84 | Professional | 53 · Discontinued | $20.42 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $17.78 Typical High $21.38 | Professional | 55 · Aftercare only | $15.14 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.00 | $11.75 | $14.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $199.53 Typical High $295.12 | Professional | 50 · Both sides | $158.49 | $199.53 | $295.12 |
Where California sits
The same service costs 4.3 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· 37th of 51
$141
AK $457KY $107
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.