How much rates vary
Facilitymedian $1,995 · 10th to 90th $151 to $7,244Professionalmedian $112 · 10th to 90th $85 to $776
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 $1,862.09 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,862.09 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $123.03 | Professional | None | $89.13 | $95.50 | $123.03 |
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 $104.71 Median $125.89 Typical High $190.55 | Professional | None | $104.71 | $125.89 | $190.55 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,311.31 Typical High $6,760.83 | Facility | None | $100.00 | $3,311.31 | $6,760.83 |
Blue Shield Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $128.82 | Professional | None | $74.13 | $107.15 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $524.81 | Professional | None | $109.65 | $109.65 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $2,511.89 | Facility | None | $323.59 | $512.86 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $165.96 | Professional | None | $91.20 | $97.72 | $165.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $346.74 | Professional | None | $97.72 | $109.65 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $204.17 | Professional | None | $83.18 | $93.33 | $204.17 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None | $776.25 | $776.25 | $891.25 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
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 $199.53 Median $478.63 Typical High $2,398.83 | Facility | None | $199.53 | $478.63 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $165.96 | Professional | None | $91.20 | $97.72 | $165.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
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 $83.18 Median $104.71 Typical High $169.82 | Professional | None | $83.18 | $104.71 | $169.82 |
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 $44.67 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $44.67 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $70.79 Typical High $79.43 | Professional | 54 · Surgery only | $66.07 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.13 Typical High $15.85 | Professional | 55 · Aftercare only | $13.18 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.55 Typical High $10.72 | Professional | 56 · Pre-op care only | $8.91 | $9.55 | $10.72 |
Where California sits
The same service costs 4.8 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· 39th of 51
$115
AK $427FL $89.13
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.