How much rates vary
Facilitymedian $851 · 10th to 90th $148 to $6,310Professionalmedian $58 · 10th to 90th $43 to $170
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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | None | $48.98 | $52.48 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $107.15 | Professional | None | $50.12 | $69.18 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $977.24 Typical High $4,570.88 | Facility | None | $100.00 | $977.24 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $67.61 | Professional | None | $39.81 | $56.23 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $891.25 | Facility | None | $323.59 | $457.09 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $79.43 | Professional | None | $51.29 | $54.95 | $79.43 |
Contra Costa Health Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $51.29 | Professional | None | $35.48 | $46.77 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $97.72 | Professional | None | $39.81 | $43.65 | $97.72 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $2,754.23 | Facility | None | $275.42 | $478.63 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $79.43 | Professional | None | $51.29 | $54.95 | $79.43 |
Sutter Health Plus Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $3,090.30 | Facility | None | $123.03 | $549.54 | $3,090.30 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $81.28 | Professional | None | $39.81 | $52.48 | $81.28 |
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 $24.55 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $39.81 Typical High $40.74 | Professional | 54 · Surgery only | $37.15 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.94 Typical High $8.13 | Professional | 55 · Aftercare only | $7.41 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.90 | $5.25 | $5.37 |
Where California sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 38th of 51
$60.26
AK $200FL $47.86
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.