How much rates vary
Facilitymedian $4,677 · 10th to 90th $603 to $18,197Professionalmedian $1,318 · 10th to 90th $851 to $6,761
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 $933.25 Median $8,511.38 Typical High $19,054.61 | Facility | None | $933.25 | $8,511.38 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,288.25 | Professional | None | $851.14 | $891.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,715.19 Typical High $19,498.45 | Facility | None | $5,248.07 | $10,715.19 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $3,630.78 | Professional | None | $1,288.25 | $1,445.44 | $3,630.78 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $12,589.25 Typical High $26,302.68 | Facility | None | $67.61 | $12,589.25 | $26,302.68 |
Blue Shield Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,995.26 | Professional | None | $707.95 | $1,000.00 | $1,995.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,348.96 | Professional | None | $794.33 | $1,023.29 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $5,623.41 | Facility | None | $660.69 | $1,122.02 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $2,951.21 | Professional | None | $954.99 | $1,174.90 | $2,951.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | None | $794.33 | $1,023.29 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $2,454.71 | Professional | None | $831.76 | $1,071.52 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,762.47 | Professional | None | $6,760.83 | $6,760.83 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $5,623.41 | Facility | None | $660.69 | $1,071.52 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,951.21 | Professional | None | $912.01 | $1,148.15 | $2,951.21 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $2,884.03 | Professional | None | $812.83 | $1,148.15 | $2,884.03 |
5 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 52 · Reduced service Typical Low $426.58 Median $436.52 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $89.13 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $89.13 | $109.65 |
Where California sits
The same service costs 3.7 times more in Alaska than in New York. 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· 23rd of 51
$1,413
AK $3,802NY $1,023
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.