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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $489.78 | Professional | None | $416.87 | $436.52 | $489.78 |
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 $398.11 Median $524.81 Typical High $776.25 | Professional | None | $398.11 | $524.81 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $436.52 Typical High $5,754.40 | Facility | None | $97.72 | $436.52 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $549.54 | Professional | None | $309.03 | $446.68 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $512.86 | Professional | None | $416.87 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $7,413.10 | Facility | None | $1,023.29 | $4,570.88 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $758.58 | Professional | None | $436.52 | $467.74 | $758.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $501.19 | Professional | None | $363.08 | $457.09 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $933.25 | Professional | None | $389.05 | $426.58 | $933.25 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $10,000.00 | Facility | None | $707.95 | $4,677.35 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $741.31 | Professional | None | $436.52 | $467.74 | $741.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $11,220.18 | Facility | None | $1,258.93 | $3,090.30 | $11,220.18 |
United Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $776.25 | Professional | None | $371.54 | $478.63 | $776.25 |
2 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 54 · Surgery only Typical Low $316.23 Median $323.59 Typical High $371.54 | Professional | 54 · Surgery only | $316.23 | $323.59 | $371.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $239.88 Median $295.12 Typical High $524.81 | Professional | 62 · Two surgeons | $239.88 | $295.12 | $524.81 |
Where California sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 38th of 51
$501
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.