How much rates vary
Facilitymedian $363 · 10th to 90th $83 to $4,169Professionalmedian $91 · 10th to 90th $68 to $427
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 $69.18 Median $72.44 Typical High $100.00 | Facility | None | $69.18 | $72.44 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $100.00 | Professional | None | $66.07 | $81.28 | $100.00 |
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 $74.13 Median $75.86 Typical High $218.78 | Professional | None | $74.13 | $75.86 | $218.78 |
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 $58.88 Median $85.11 Typical High $128.82 | Professional | None | $58.88 | $85.11 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $162.18 | Professional | None | $67.61 | $93.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $234.42 | Facility | None | $53.70 | $112.20 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $158.49 | Professional | None | $72.44 | $95.50 | $158.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $158.49 | Professional | None | $61.66 | $81.28 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $123.03 Typical High $245.47 | Professional | None | $69.18 | $123.03 | $245.47 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None | $776.25 | $776.25 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | None | $93.33 | $93.33 | $154.88 |
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 $112.20 Typical High $239.88 | Facility | None | $58.88 | $112.20 | $239.88 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $147.91 | Professional | None | $72.44 | $93.33 | $147.91 |
Sutter Health Plus Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
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 $63.10 Median $91.20 Typical High $177.83 | Professional | None | $63.10 | $91.20 | $177.83 |
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 $34.67 Median $36.31 Typical High $50.12 | Facility | 52 · Reduced service | $34.67 | $36.31 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $19.95 | Facility | 53 · Discontinued | $13.80 | $14.45 | $19.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $10.96 Typical High $14.79 | Facility | 55 · Aftercare only | $10.47 | $10.96 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $10.00 | Facility | 56 · Pre-op care only | $6.92 | $7.24 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $40.74 Typical High $50.12 | Professional | 52 · Reduced service | $33.11 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.22 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $16.22 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 55 · Aftercare only | $9.77 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.13 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.61 | $8.13 | $10.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $147.91 Typical High $204.17 | Professional | 50 · Both sides | $114.82 | $147.91 | $204.17 |
Where California sits
The same service costs 3.8 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· 44th of 51
$93.33
AK $309FL $81.28
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.