How much rates vary
Facilitymedian $2,692 · 10th to 90th $575 to $151,356Professionalmedian $1,122 · 10th to 90th $676 to $5,370
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 $707.95 Median $758.58 Typical High $870.96 | Professional | None | $707.95 | $758.58 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $10,964.78 Typical High $19,498.45 | Facility | None | $6,165.95 | $10,964.78 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,230.27 | $3,019.95 |
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 $562.34 Median $812.83 Typical High $1,479.11 | Professional | None | $562.34 | $812.83 | $1,479.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $912.01 | Professional | None | $588.84 | $812.83 | $912.01 |
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 $741.31 Median $891.25 Typical High $2,238.72 | Professional | None | $741.31 | $891.25 | $2,238.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $870.96 | Professional | None | $524.81 | $794.33 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,949.84 | Professional | None | $660.69 | $851.14 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,165.95 | Professional | None | $5,370.32 | $5,370.32 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $724.44 Median $891.25 Typical High $2,238.72 | Professional | None | $724.44 | $891.25 | $2,238.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
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 $630.96 Median $891.25 Typical High $2,290.87 | Professional | None | $630.96 | $891.25 | $2,290.87 |
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 $354.81 Median $371.54 Typical High $436.52 | Professional | 52 · Reduced service | $354.81 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $562.34 Typical High $660.69 | Professional | 54 · Surgery only | $537.03 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $131.83 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $87.10 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $87.10 |
Where California sits
The same service costs 3.8 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· 23rd of 51
$1,122
WI $3,090NY $813
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.