How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,122 to $11,220Professionalmedian $1,820 · 10th to 90th $158 to $6,457
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 $2,041.74 Median $6,606.93 Typical High $15,848.93 | Facility | None | $2,041.74 | $6,606.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $1,737.80 Typical High $2,818.38 | Professional | None | $151.36 | $1,737.80 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $6,918.31 Typical High $14,125.38 | Facility | None | $3,630.78 | $6,918.31 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $2,344.23 Typical High $6,025.60 | Professional | None | $190.55 | $2,344.23 | $6,025.60 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,862.09 Typical High $5,754.40 | Facility | None | $100.00 | $1,862.09 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $131.83 Median $1,174.90 Typical High $3,388.44 | Professional | None | $131.83 | $1,174.90 | $3,388.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $2,454.71 | Professional | None | $138.04 | $223.87 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,897.79 Typical High $7,762.47 | Facility | None | $812.83 | $4,897.79 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $2,041.74 Typical High $3,630.78 | Professional | None | $165.96 | $2,041.74 | $3,630.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $2,398.83 | Professional | None | $147.91 | $177.83 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $1,548.82 Typical High $3,311.31 | Professional | None | $138.04 | $1,548.82 | $3,311.31 |
Lucent Health Setting Professional Modifier None Typical Low $11,220.18 Median $13,803.84 Typical High $13,803.84 | Professional | None | $11,220.18 | $13,803.84 | $13,803.84 |
Molina Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,318.26 | $1,318.26 | $2,238.72 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $5,011.87 Typical High $10,232.93 | Facility | None | $676.08 | $5,011.87 | $10,232.93 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $1,698.24 Typical High $3,467.37 | Professional | None | $165.96 | $1,698.24 | $3,467.37 |
Sutter Health Plus Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $6,456.54 | Professional | None | $512.86 | $512.86 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $134.90 Median $1,548.82 Typical High $3,715.35 | Professional | None | $134.90 | $1,548.82 | $3,715.35 |
3 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 Professional Modifier 54 · Surgery only Typical Low $120.23 Median $1,096.48 Typical High $1,548.82 | Professional | 54 · Surgery only | $120.23 | $1,096.48 | $1,548.82 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 50 · Both sides | $1,288.25 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $2,398.83 Typical High $5,623.41 | Professional | 50 · Both sides | $234.42 | $2,398.83 | $5,623.41 |
Where California sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 14th of 51
$1,995
AK $3,020NE $302
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.