How much rates vary
Facilitymedian $1,047 · 10th to 90th $120 to $5,754Professionalmedian $107 · 10th to 90th $66 to $389
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 $79.43 Median $85.11 Typical High $85.11 | Facility | None | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $85.11 | Professional | None | $70.79 | $79.43 | $85.11 |
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 $70.79 Median $109.65 Typical High $323.59 | Professional | None | $70.79 | $109.65 | $323.59 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $1,000.00 Typical High $4,570.88 | Facility | None | $97.72 | $1,000.00 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $177.83 | Professional | None | $48.98 | $70.79 | $177.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $83.18 | Professional | None | $67.61 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $870.96 Typical High $5,623.41 | Facility | None | $426.58 | $870.96 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $223.87 | Professional | None | $75.86 | $89.13 | $223.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $208.93 | Professional | None | $66.07 | $100.00 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $1,318.26 Typical High $5,623.41 | Facility | None | $107.15 | $1,318.26 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $223.87 | Professional | None | $75.86 | $89.13 | $223.87 |
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 $61.66 Median $83.18 Typical High $275.42 | Professional | None | $61.66 | $83.18 | $275.42 |
6 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 $37.15 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.85 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.75 Typical High $12.59 | Professional | 55 · Aftercare only | $10.96 | $11.75 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.94 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.41 | $7.94 | $8.51 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $117.49 Typical High $165.96 | Professional | 50 · Both sides | $93.33 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $39.81 Median $48.98 Typical High $74.13 | Professional | 62 · Two surgeons | $39.81 | $48.98 | $74.13 |
Where California sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 35th of 51
$110
AK $316KY $70.79
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.