How much rates vary
Facilitymedian $759 · 10th to 90th $468 to $5,129Professionalmedian $209 · 10th to 90th $115 to $562
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 $169.82 Median $208.93 Typical High $234.42 | Professional | None | $169.82 | $208.93 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $436.52 | Professional | None | $190.55 | $263.03 | $436.52 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,023.29 Typical High $4,897.79 | Facility | None | $100.00 | $1,023.29 | $4,897.79 |
Blue Shield Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $186.21 | Professional | None | $107.15 | $154.88 | $186.21 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $489.78 | Professional | None | $154.88 | $154.88 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,380.38 Typical High $2,511.89 | Facility | None | $426.58 | $1,380.38 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $257.04 | Professional | None | $138.04 | $208.93 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $338.84 | Professional | None | $138.04 | $151.36 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $281.84 | Professional | None | $114.82 | $131.83 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $1,380.38 Typical High $2,951.21 | Facility | None | $346.74 | $1,380.38 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $257.04 | Professional | None | $138.04 | $204.17 | $257.04 |
Sutter Health Plus Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $467.74 Median $575.44 Typical High $2,344.23 | Facility | None | $467.74 | $575.44 | $2,344.23 |
United Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $257.04 | Professional | None | $104.71 | $162.18 | $257.04 |
5 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 $83.18 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $158.49 Typical High $177.83 | Professional | 54 · Surgery only | $125.89 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $31.62 Typical High $35.48 | Professional | 55 · Aftercare only | $25.12 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $20.89 Typical High $23.44 | Professional | 56 · Pre-op care only | $16.60 | $20.89 | $23.44 |
Where California sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 25th of 51
$214
AK $537UT $100
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.