How much rates vary
Facilitymedian $2,692 · 10th to 90th $501 to $151,356Professionalmedian $646 · 10th to 90th $389 to $2,884
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 $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $562.34 | Professional | None | $407.38 | $426.58 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $16,982.44 | Facility | None | $3,890.45 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,659.59 | Professional | None | $562.34 | $707.95 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $954.99 Typical High $2,041.74 | Facility | None | $67.61 | $954.99 | $2,041.74 |
Blue Shield Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $812.83 | Professional | None | $302.00 | $426.58 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $10,000.00 | Facility | None | $660.69 | $1,258.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $1,288.25 | Professional | None | $416.87 | $512.86 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $478.63 | Professional | None | $302.00 | $446.68 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $1,071.52 | Professional | None | $363.08 | $457.09 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,884.03 | $2,884.03 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $151,356.12 Typical High $251,188.64 | Facility | None | $630.96 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $1,258.93 | Professional | None | $407.38 | $489.78 | $1,258.93 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $354.81 Median $489.78 Typical High $1,258.93 | Professional | None | $354.81 | $489.78 | $1,258.93 |
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 $199.53 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $354.81 | Professional | 54 · Surgery only | $288.40 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $70.79 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $42.66 Typical High $46.77 | Professional | 56 · Pre-op care only | $40.74 | $42.66 | $46.77 |
Where California sits
The same service costs 4.1 times more in Wisconsin than in Kentucky. 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· 17th of 51
$692
WI $1,738KY $427
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.