How much rates vary
Facilitymedian $7,079 · 10th to 90th $501 to $17,783Professionalmedian $1,622 · 10th to 90th $331 to $6,026
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 $1,698.24 Median $6,606.93 Typical High $15,848.93 | Facility | None | $1,698.24 | $6,606.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $1,548.82 Typical High $3,311.31 | Professional | None | $309.03 | $1,548.82 | $3,311.31 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $1,819.70 Typical High $1,819.70 | Professional | None | $263.03 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $8,511.38 Typical High $16,982.44 | Facility | None | $4,265.80 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $1,548.82 Typical High $4,786.30 | Professional | None | $446.68 | $1,548.82 | $4,786.30 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $3,311.31 Typical High $8,128.31 | Facility | None | $69.18 | $3,311.31 | $8,128.31 |
Blue Shield Setting Professional Modifier None Typical Low $257.04 Median $1,288.25 Typical High $2,344.23 | Professional | None | $257.04 | $1,288.25 | $2,344.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $3,548.13 | Professional | None | $316.23 | $416.87 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $1,584.89 Typical High $3,388.44 | Professional | None | $363.08 | $1,584.89 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $3,467.37 | Professional | None | $281.84 | $371.54 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $1,905.46 Typical High $4,168.69 | Professional | None | $309.03 | $1,905.46 | $4,168.69 |
Lucent Health Setting Professional Modifier None Typical Low $14,454.40 Median $20,417.38 Typical High $20,417.38 | Professional | None | $14,454.40 | $20,417.38 | $20,417.38 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $1,659.59 Typical High $2,754.23 | Professional | None | $33.11 | $1,659.59 | $2,754.23 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $851.14 Typical High $3,388.44 | Facility | None | $323.59 | $851.14 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $1,737.80 Typical High $3,388.44 | Professional | None | $354.81 | $1,737.80 | $3,388.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $6,918.31 | Professional | None | $1,148.15 | $1,148.15 | $6,918.31 |
United Setting Facility Modifier None Typical Low $7,762.47 Median $13,803.84 Typical High $28,840.32 | Facility | None | $7,762.47 | $13,803.84 | $28,840.32 |
United Setting Professional Modifier None Typical Low $316.23 Median $1,659.59 Typical High $3,801.89 | Professional | None | $316.23 | $1,659.59 | $3,801.89 |
11 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 Facility Modifier 52 · Reduced service Typical Low $154.88 Median $165.96 Typical High $977.24 | Facility | 52 · Reduced service | $154.88 | $165.96 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $398.11 | Facility | 53 · Discontinued | $61.66 | $66.07 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $48.98 Typical High $295.12 | Facility | 55 · Aftercare only | $46.77 | $48.98 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.11 Typical High $194.98 | Facility | 56 · Pre-op care only | $30.90 | $33.11 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $691.83 Typical High $977.24 | Professional | 52 · Reduced service | $154.88 | $691.83 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $275.42 Typical High $398.11 | Professional | 53 · Discontinued | $61.66 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $1,023.29 Typical High $1,479.11 | Professional | 54 · Surgery only | $234.42 | $1,023.29 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $204.17 Typical High $295.12 | Professional | 55 · Aftercare only | $46.77 | $204.17 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $138.04 Typical High $194.98 | Professional | 56 · Pre-op care only | $30.90 | $138.04 | $194.98 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 50 · Both sides | $691.83 | $691.83 | $691.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $2,398.83 Typical High $4,897.79 | Professional | 50 · Both sides | $549.54 | $2,398.83 | $4,897.79 |
Where California sits
The same service costs 6.3 times more in Washington than in Maryland. 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· 28th of 51
$1,698
WA $3,236MD $513
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.