How much rates vary
Facilitymedian $3,802 · 10th to 90th $955 to $12,023Professionalmedian $1,622 · 10th to 90th $355 to $7,079
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 $1,778.28 Median $6,606.93 Typical High $15,848.93 | Facility | None | $1,778.28 | $6,606.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $1,621.81 Typical High $2,041.74 | Professional | None | $338.84 | $1,621.81 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $10,232.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $1,737.80 Typical High $5,370.32 | Professional | None | $501.19 | $1,737.80 | $5,370.32 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,290.87 Typical High $7,413.10 | Facility | None | $100.00 | $2,290.87 | $7,413.10 |
Blue Shield Setting Professional Modifier None Typical Low $275.42 Median $1,348.96 Typical High $2,754.23 | Professional | None | $275.42 | $1,348.96 | $2,754.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $1,737.80 | Professional | None | $295.12 | $457.09 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $6,456.54 | Facility | None | $758.58 | $3,467.37 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $1,348.96 Typical High $2,630.27 | Professional | None | $371.54 | $1,348.96 | $2,630.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $1,862.09 | Professional | None | $302.00 | $371.54 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $1,000.00 Typical High $2,398.83 | Professional | None | $302.00 | $1,000.00 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $10,471.29 | Professional | None | $8,709.64 | $8,709.64 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,047.13 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $3,311.31 Typical High $6,025.60 | Facility | None | $630.96 | $3,311.31 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $1,174.90 Typical High $2,630.27 | Professional | None | $354.81 | $1,174.90 | $2,630.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,466.84 | Professional | None | $1,071.52 | $1,071.52 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $323.59 Median $1,230.27 Typical High $3,019.95 | Professional | None | $323.59 | $1,230.27 | $3,019.95 |
9 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 $169.82 Median $177.83 Typical High $1,023.29 | Facility | 52 · Reduced service | $169.82 | $177.83 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $407.38 | Facility | 53 · Discontinued | $67.61 | $70.79 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $309.03 | Facility | 55 · Aftercare only | $50.12 | $53.70 | $309.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $204.17 | Facility | 56 · Pre-op care only | $33.88 | $35.48 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $588.84 Typical High $891.25 | Professional | 52 · Reduced service | $165.96 | $588.84 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $234.42 Typical High $354.81 | Professional | 53 · Discontinued | $66.07 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $891.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $245.47 | $891.25 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $177.83 Typical High $269.15 | Professional | 55 · Aftercare only | $48.98 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $117.49 Typical High $177.83 | Professional | 56 · Pre-op care only | $33.11 | $117.49 | $177.83 |
Where California sits
The same service costs 5.1 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· 11th of 51
$1,905
AK $3,020NE $589
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.