How much rates vary
Facilitymedian $2,138 · 10th to 90th $145 to $9,550Professionalmedian $372 · 10th to 90th $151 to $1,380
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 $478.63 Median $5,128.61 Typical High $15,135.61 | Facility | None | $478.63 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $512.86 | Professional | None | $151.36 | $346.74 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $575.44 Typical High $1,230.27 | Professional | None | $251.19 | $575.44 | $1,230.27 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $2,344.23 Typical High $10,471.29 | Facility | None | $95.50 | $2,344.23 | $10,471.29 |
Blue Shield Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $630.96 | Professional | None | $147.91 | $302.00 | $630.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $138.04 Median $436.52 Typical High $724.44 | Professional | None | $138.04 | $436.52 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,698.24 Typical High $2,691.53 | Facility | None | $616.60 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $316.23 Typical High $630.96 | Professional | None | $134.90 | $316.23 | $630.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $134.90 Median $389.05 Typical High $489.78 | Professional | None | $134.90 | $389.05 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $331.13 Typical High $630.96 | Professional | None | $120.23 | $331.13 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Professional | None | $2,511.89 | $2,511.89 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | None | $251.19 | $251.19 | $416.87 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $707.95 Typical High $2,691.53 | Facility | None | $213.80 | $707.95 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $645.65 | Professional | None | $134.90 | $309.03 | $645.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,071.52 | Professional | None | $436.52 | $436.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $3,090.30 | Facility | None | $123.03 | $501.19 | $3,090.30 |
United Setting Professional Modifier None Typical Low $125.89 Median $309.03 Typical High $724.44 | Professional | None | $125.89 | $309.03 | $724.44 |
7 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 54 · Surgery only Typical Low $123.03 Median $128.82 Typical High $346.74 | Facility | 54 · Surgery only | $123.03 | $128.82 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $69.18 | Facility | 55 · Aftercare only | $24.55 | $25.70 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.98 Typical High $46.77 | Facility | 56 · Pre-op care only | $16.60 | $16.98 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $169.82 Typical High $316.23 | Professional | 54 · Surgery only | $117.49 | $169.82 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $33.88 Typical High $63.10 | Professional | 55 · Aftercare only | $23.44 | $33.88 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $22.39 Typical High $41.69 | Professional | 56 · Pre-op care only | $15.49 | $22.39 | $41.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $501.19 Typical High $1,202.26 | Professional | 50 · Both sides | $213.80 | $501.19 | $1,202.26 |
Where California sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 13th of 51
$427
AK $759NE $224
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.