How much rates vary
Facilitymedian $3,890 · 10th to 90th $661 to $12,303Professionalmedian $1,288 · 10th to 90th $98 to $6,310
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 $1,445.44 Median $5,888.44 Typical High $15,848.93 | Facility | None | $1,445.44 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $1,230.27 Typical High $1,737.80 | Professional | None | $89.13 | $1,230.27 | $1,737.80 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,137.96 | $5,128.61 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $1,000.00 Typical High $4,466.84 | Professional | None | $144.54 | $1,000.00 | $4,466.84 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,981.07 Typical High $14,125.38 | Facility | None | $100.00 | $3,981.07 | $14,125.38 |
Blue Shield Setting Professional Modifier None Typical Low $102.33 Median $741.31 Typical High $1,995.26 | Professional | None | $102.33 | $741.31 | $1,995.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $70.79 Median $1,548.82 Typical High $4,168.69 | Professional | None | $70.79 | $1,548.82 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,548.13 Typical High $6,918.31 | Facility | None | $758.58 | $3,548.13 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $363.08 Typical High $2,818.38 | Professional | None | $102.33 | $363.08 | $2,818.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $1,905.46 Typical High $2,951.21 | Professional | None | $97.72 | $1,905.46 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $1,122.02 Typical High $2,818.38 | Professional | None | $79.43 | $1,122.02 | $2,818.38 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $11,748.98 | Professional | None | $9,332.54 | $9,332.54 | $11,748.98 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $1,071.52 Typical High $1,778.28 | Professional | None | $33.11 | $1,071.52 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $1,995.26 Typical High $5,623.41 | Facility | None | $97.72 | $1,995.26 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $331.13 Typical High $2,511.89 | Professional | None | $97.72 | $331.13 | $2,511.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $6,606.93 | Professional | None | $323.59 | $323.59 | $6,606.93 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,754.40 | $17,378.01 |
United Setting Professional Modifier None Typical Low $87.10 Median $1,318.26 Typical High $3,548.13 | Professional | None | $87.10 | $1,318.26 | $3,548.13 |
8 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 $48.98 Median $64.57 Typical High $851.14 | Facility | 52 · Reduced service | $48.98 | $64.57 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $25.70 Typical High $338.84 | Facility | 53 · Discontinued | $19.95 | $25.70 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.79 Median $19.05 Typical High $251.19 | Facility | 55 · Aftercare only | $14.79 | $19.05 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $512.86 Typical High $851.14 | Professional | 52 · Reduced service | $46.77 | $512.86 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $204.17 Typical High $338.84 | Professional | 53 · Discontinued | $18.62 | $204.17 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $776.25 Typical High $1,258.93 | Professional | 54 · Surgery only | $69.18 | $776.25 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $154.88 Typical High $251.19 | Professional | 55 · Aftercare only | $13.80 | $154.88 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $102.33 Typical High $169.82 | Professional | 56 · Pre-op care only | $9.55 | $102.33 | $169.82 |
Where California sits
The same service costs 19.1 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· 20th of 51
$1,514
AK $3,388NE $178
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.