How much rates vary
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 $1,412.54 Median $5,128.61 Typical High $15,135.61 | Facility | None | $1,412.54 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $1,318.26 Typical High $2,041.74 | Professional | None | $229.09 | $1,318.26 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,456.54 Typical High $14,125.38 | Facility | None | $2,884.03 | $6,456.54 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $2,290.87 Typical High $5,248.07 | Professional | None | $380.19 | $2,290.87 | $5,248.07 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $4,897.79 Typical High $10,000.00 | Facility | None | $69.18 | $4,897.79 | $10,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $186.21 Median $1,288.25 Typical High $2,691.53 | Professional | None | $186.21 | $1,288.25 | $2,691.53 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $245.47 Median $1,737.80 Typical High $3,388.44 | Professional | None | $245.47 | $1,737.80 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,698.24 Typical High $2,691.53 | Facility | None | $676.08 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $1,230.27 Typical High $2,398.83 | Professional | None | $245.47 | $1,230.27 | $2,398.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $1,698.24 Typical High $2,137.96 | Professional | None | $245.47 | $1,698.24 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $1,023.29 Typical High $2,344.23 | Professional | None | $218.78 | $1,023.29 | $2,344.23 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $11,481.54 Typical High $11,481.54 | Professional | None | $10,000.00 | $11,481.54 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,584.89 | Professional | None | $954.99 | $954.99 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $1,584.89 Typical High $2,691.53 | Facility | None | $281.84 | $1,584.89 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $239.88 Median $1,023.29 Typical High $2,398.83 | Professional | None | $239.88 | $1,023.29 | $2,398.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $4,466.84 | Professional | None | $776.25 | $776.25 | $4,466.84 |
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 $223.87 Median $1,122.02 Typical High $2,884.03 | Professional | None | $223.87 | $1,122.02 | $2,884.03 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $199.53 Median $812.83 Typical High $1,995.26 | Professional | 62 · Two surgeons | $199.53 | $812.83 | $1,995.26 |
Where California sits
The same service costs 4.9 times more in Oregon 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· 9th of 51
$1,445
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.