How much rates vary
Facilitymedian $2,692 · 10th to 90th $575 to $151,356Professionalmedian $1,259 · 10th to 90th $776 to $5,623
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 $812.83 Median $870.96 Typical High $933.25 | Professional | None | $812.83 | $870.96 | $933.25 |
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 $1,096.48 Median $1,445.44 Typical High $3,388.44 | Professional | None | $1,096.48 | $1,445.44 | $3,388.44 |
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 $676.08 Median $977.24 Typical High $1,778.28 | Professional | None | $676.08 | $977.24 | $1,778.28 |
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 $831.76 Median $1,023.29 Typical High $2,570.40 | Professional | None | $831.76 | $1,023.29 | $2,570.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $933.25 | Professional | None | $616.60 | $851.14 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $2,187.76 | Professional | None | $707.95 | $891.25 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $6,606.93 | Professional | None | $5,623.41 | $5,623.41 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $151,356.12 Typical High $251,188.64 | Facility | None | $776.25 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $2,454.71 | Professional | None | $831.76 | $977.24 | $2,454.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
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 $691.83 Median $977.24 Typical High $2,454.71 | Professional | None | $691.83 | $977.24 | $2,454.71 |
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 $398.11 Median $426.58 Typical High $457.09 | Professional | 52 · Reduced service | $398.11 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $181.97 | Professional | 53 · Discontinued | $162.18 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $645.65 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $128.82 Typical High $138.04 | Professional | 55 · Aftercare only | $120.23 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $91.20 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $91.20 |
Where California sits
The same service costs 4.3 times more in Alaska 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· 18th of 51
$1,288
AK $3,236KY $759
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.