How much rates vary
Facilitymedian $363 · 10th to 90th $91 to $4,169Professionalmedian $105 · 10th to 90th $74 to $501
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 $75.86 Median $79.43 Typical High $120.23 | Facility | None | $75.86 | $79.43 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $120.23 | Professional | None | $72.44 | $97.72 | $120.23 |
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 $81.28 Median $83.18 Typical High $263.03 | Professional | None | $81.28 | $83.18 | $263.03 |
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 $64.57 Median $95.50 Typical High $154.88 | Professional | None | $64.57 | $95.50 | $154.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $190.55 | Professional | None | $64.57 | $89.13 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $134.90 Typical High $281.84 | Facility | None | $53.70 | $134.90 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $186.21 | Professional | None | $79.43 | $117.49 | $186.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $186.21 | Professional | None | $48.98 | $87.10 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $281.84 | Professional | None | $74.13 | $144.54 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | None | $912.01 | $912.01 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | None | $104.71 | $104.71 | $177.83 |
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 $134.90 Typical High $281.84 | Facility | None | $58.88 | $134.90 | $281.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $181.97 | Professional | None | $79.43 | $114.82 | $181.97 |
Sutter Health Plus Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $398.11 | Professional | None | $269.15 | $269.15 | $398.11 |
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 $67.61 Median $104.71 Typical High $204.17 | Professional | None | $67.61 | $104.71 | $204.17 |
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 $38.02 Median $39.81 Typical High $60.26 | Facility | 52 · Reduced service | $38.02 | $39.81 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $23.99 | Facility | 53 · Discontinued | $15.14 | $15.85 | $23.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $12.02 Typical High $18.20 | Facility | 55 · Aftercare only | $11.48 | $12.02 | $18.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.94 Typical High $12.02 | Facility | 56 · Pre-op care only | $7.59 | $7.94 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $35.48 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $14.45 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $14.79 Typical High $18.20 | Professional | 55 · Aftercare only | $10.72 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.77 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.24 | $9.77 | $12.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $162.18 Typical High $218.78 | Professional | 50 · Both sides | $123.03 | $162.18 | $218.78 |
Where California sits
The same service costs 3.5 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· 44th of 51
$112
AK $339MD $95.50
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.