How much rates vary
Facilitymedian $2,692 · 10th to 90th $513 to $151,356Professionalmedian $724 · 10th to 90th $437 to $3,236
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 $457.09 Median $489.78 Typical High $630.96 | Professional | None | $457.09 | $489.78 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $13,803.84 Typical High $25,118.86 | Facility | None | $5,370.32 | $13,803.84 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,905.46 | Professional | None | $616.60 | $812.83 | $1,905.46 |
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 $398.11 Median $575.44 Typical High $1,071.52 | Professional | None | $398.11 | $575.44 | $1,071.52 |
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 $467.74 Median $575.44 Typical High $1,479.11 | Professional | None | $467.74 | $575.44 | $1,479.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $537.03 | Professional | None | $346.74 | $489.78 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $1,174.90 | Professional | None | $398.11 | $512.86 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,715.35 | Professional | None | $3,235.94 | $3,235.94 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $151,356.12 Typical High $251,188.64 | Facility | None | $660.69 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $1,412.54 | Professional | None | $467.74 | $549.54 | $1,412.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
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 $389.05 Median $562.34 Typical High $1,380.38 | Professional | None | $389.05 | $562.34 | $1,380.38 |
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 $229.09 Median $245.47 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $102.33 | Professional | 53 · Discontinued | $91.20 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $363.08 Typical High $398.11 | Professional | 54 · Surgery only | $323.59 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | 55 · Aftercare only | $67.61 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $51.29 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $51.29 |
Where California sits
The same service costs 3.9 times more in Wisconsin 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· 18th of 51
$776
WI $1,905NY $490
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.