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 $1,737.80 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,737.80 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,698.24 | $2,570.40 |
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 $1,905.46 Median $2,884.03 Typical High $8,128.31 | Professional | None | $1,905.46 | $2,884.03 | $8,128.31 |
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 $323.59 Median $467.74 Typical High $933.25 | Professional | None | $323.59 | $467.74 | $933.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,659.59 | $2,041.74 | $2,041.74 |
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 $1,819.70 Median $2,187.76 Typical High $5,754.40 | Professional | None | $1,819.70 | $2,187.76 | $5,754.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,819.70 | $1,995.26 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $4,897.79 | Professional | None | $1,659.59 | $2,089.30 | $4,897.79 |
Lucent Health Setting Professional Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $15,488.17 | Professional | None | $13,489.63 | $13,489.63 | $15,488.17 |
Molina Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
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 $1,819.70 Median $2,041.74 Typical High $5,370.32 | Professional | None | $1,819.70 | $2,041.74 | $5,370.32 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
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 $1,621.81 Median $2,398.83 Typical High $5,754.40 | Professional | None | $1,621.81 | $2,398.83 | $5,754.40 |
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 $1,202.26 Median $1,258.93 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,202.26 | $1,258.93 | $1,659.59 |
Where California sits
The same service costs 4.7 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· 29th of 51
$2,630
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.