How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,096 to $10,965Professionalmedian $1,862 · 10th to 90th $186 to $7,413
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 $2,137.96 Median $6,456.54 Typical High $15,848.93 | Facility | None | $2,137.96 | $6,456.54 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,737.80 Typical High $4,570.88 | Professional | None | $173.78 | $1,737.80 | $4,570.88 |
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 $223.87 Median $4,365.16 Typical High $9,120.11 | Professional | None | $223.87 | $4,365.16 | $9,120.11 |
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 $154.88 Median $1,202.26 Typical High $3,388.44 | Professional | None | $154.88 | $1,202.26 | $3,388.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $2,511.89 | Professional | None | $154.88 | $269.15 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,454.71 Typical High $6,025.60 | Facility | None | $812.83 | $2,454.71 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $2,041.74 Typical High $5,128.61 | Professional | None | $199.53 | $2,041.74 | $5,128.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $2,454.71 | Professional | None | $169.82 | $213.80 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $1,584.89 Typical High $3,890.45 | Professional | None | $154.88 | $1,584.89 | $3,890.45 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $19,498.45 | Professional | None | $19,498.45 | $19,498.45 | $19,498.45 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,348.96 | $2,238.72 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $2,691.53 Typical High $9,772.37 | Facility | None | $676.08 | $2,691.53 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $199.53 Median $1,737.80 Typical High $5,011.87 | Professional | None | $199.53 | $1,737.80 | $5,011.87 |
Sutter Health Plus Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $6,456.54 | Professional | None | $575.44 | $575.44 | $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 $154.88 Median $1,584.89 Typical High $5,011.87 | Professional | None | $154.88 | $1,584.89 | $5,011.87 |
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 $141.25 Median $1,122.02 Typical High $2,884.03 | Professional | 54 · Surgery only | $141.25 | $1,122.02 | $2,884.03 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | 50 · Both sides | $2,630.27 | $2,630.27 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $281.84 Median $2,511.89 Typical High $6,760.83 | Professional | 50 · Both sides | $281.84 | $2,511.89 | $6,760.83 |
Where California sits
The same service costs 10.5 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· 12th of 51
$2,042
AK $3,715NE $355
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.