How much rates vary
Facilitymedian $4,571 · 10th to 90th $617 to $151,356Professionalmedian $3,236 · 10th to 90th $2,291 to $17,378
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 $2,398.83 Median $8,128.31 Typical High $19,054.61 | Facility | None | $2,398.83 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $3,388.44 | Professional | None | $2,290.87 | $2,398.83 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $16,982.44 Typical High $29,512.09 | Facility | None | $7,762.47 | $16,982.44 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $9,549.93 | Professional | None | $3,019.95 | $3,388.44 | $9,549.93 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $3,090.30 Typical High $6,606.93 | Facility | None | $67.61 | $3,090.30 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $5,248.07 | Professional | None | $1,862.09 | $2,691.53 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $10,000.00 | Facility | None | $660.69 | $1,348.96 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $7,413.10 | Professional | None | $2,398.83 | $2,951.21 | $7,413.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,344.23 | $2,570.40 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $6,309.57 | Professional | None | $2,089.30 | $2,754.23 | $6,309.57 |
Lucent Health Setting Professional Modifier None Typical Low $17,378.01 Median $20,417.38 Typical High $20,417.38 | Professional | None | $17,378.01 | $20,417.38 | $20,417.38 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $151,356.12 Typical High $251,188.64 | Facility | None | $812.83 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $7,413.10 | Professional | None | $2,344.23 | $2,884.03 | $7,413.10 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,943.28 | $7,943.28 | $7,943.28 |
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 $2,089.30 Median $2,951.21 Typical High $7,585.78 | Professional | None | $2,089.30 | $2,951.21 | $7,585.78 |
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 $1,122.02 Median $1,174.90 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,122.02 | $1,174.90 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $478.63 Typical High $562.34 | Professional | 53 · Discontinued | $457.09 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,778.28 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,698.24 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $354.81 Typical High $426.58 | Professional | 55 · Aftercare only | $338.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $239.88 Typical High $281.84 | Professional | 56 · Pre-op care only | $229.09 | $239.88 | $281.84 |
Where California sits
The same service costs 5.8 times more in Alaska than in Arkansas. 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· 28th of 51
$3,311
AK $10,000AR $1,738
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.