How much rates vary
Facilitymedian $1,047 · 10th to 90th $117 to $5,754Professionalmedian $16 · 10th to 90th $10 to $69
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 $12.02 Median $12.88 Typical High $12.88 | Facility | None | $12.02 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $12.88 | Professional | None | $10.96 | $12.02 | $12.88 |
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 $15.14 Median $17.38 Typical High $58.88 | Professional | None | $15.14 | $17.38 | $58.88 |
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 $7.59 Median $10.96 Typical High $26.92 | Professional | None | $7.59 | $10.96 | $26.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $12.59 | Professional | None | $10.23 | $12.59 | $12.59 |
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 $11.75 Median $13.80 Typical High $42.66 | Professional | None | $11.75 | $13.80 | $42.66 |
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 $10.00 Median $15.14 Typical High $31.62 | Professional | None | $10.00 | $15.14 | $31.62 |
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 $17.38 Median $1,318.26 Typical High $5,623.41 | Facility | None | $17.38 | $1,318.26 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $42.66 | Professional | None | $11.22 | $13.80 | $42.66 |
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 $9.33 Median $12.59 Typical High $41.69 | Professional | None | $9.33 | $12.59 | $41.69 |
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 $5.50 Median $6.03 Typical High $6.46 | Professional | 52 · Reduced service | $5.50 | $6.03 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.45 Typical High $2.57 | Professional | 53 · Discontinued | $2.19 | $2.45 | $2.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.82 Typical High $1.95 | Professional | 55 · Aftercare only | $1.66 | $1.82 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.20 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.12 | $1.20 | $1.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $14.13 Median $17.78 Typical High $28.84 | Professional | 50 · Both sides | $14.13 | $17.78 | $28.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $5.89 Median $7.59 Typical High $12.30 | Professional | 62 · Two surgeons | $5.89 | $7.59 | $12.30 |
Where California sits
The same service costs 12.3 times more in Florida 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· 29th of 51
$18.62
FL $132KY $10.72
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.