How much rates vary
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 $691.83 Median $724.44 Typical High $1,096.48 | Professional | None | $691.83 | $724.44 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $14,454.40 Typical High $26,302.68 | Facility | None | $8,317.64 | $14,454.40 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $3,467.37 | Professional | None | $812.83 | $1,230.27 | $3,467.37 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $724.44 | Professional | None | $251.19 | $354.81 | $724.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | None | $707.95 | $870.96 | $870.96 |
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 $776.25 Median $933.25 Typical High $2,454.71 | Professional | None | $776.25 | $933.25 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,023.29 | Professional | None | $776.25 | $851.14 | $1,023.29 |
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 $758.58 Median $151,356.12 Typical High $251,188.64 | Facility | None | $758.58 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $2,290.87 | Professional | None | $776.25 | $891.25 | $2,290.87 |
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 $1,071.52 Typical High $2,570.40 | Professional | None | $691.83 | $1,071.52 | $2,570.40 |
1 more rate 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 54 · Surgery only Typical Low $512.86 Median $537.03 Typical High $707.95 | Professional | 54 · Surgery only | $512.86 | $537.03 | $707.95 |
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· 25th of 51
$1,259
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.