How much rates vary
Facilitymedian $1,622 · 10th to 90th $832 to $8,318Professionalmedian $417 · 10th to 90th $295 to $1,175
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $446.68 | Professional | None | $354.81 | $398.11 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $851.14 | Professional | None | $363.08 | $501.19 | $851.14 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,621.81 Typical High $6,760.83 | Facility | None | $100.00 | $1,621.81 | $6,760.83 |
Blue Shield Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $478.63 | Professional | None | $275.42 | $389.05 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $467.74 | Professional | None | $338.84 | $389.05 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,412.54 Typical High $2,818.38 | Facility | None | $562.34 | $1,412.54 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $575.44 | Professional | None | $354.81 | $407.38 | $575.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $389.05 | Professional | None | $269.15 | $346.74 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $707.95 | Professional | None | $295.12 | $338.84 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
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 $537.03 Median $1,445.44 Typical High $4,466.84 | Facility | None | $537.03 | $1,445.44 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | None | $354.81 | $407.38 | $562.34 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $7,585.78 | Facility | None | $831.76 | $933.25 | $7,585.78 |
United Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $575.44 | Professional | None | $275.42 | $389.05 | $575.44 |
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 $177.83 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $177.83 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $70.79 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $302.00 Typical High $338.84 | Professional | 54 · Surgery only | $269.15 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $60.26 Typical High $67.61 | Professional | 55 · Aftercare only | $53.70 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $44.67 |
Where California sits
The same service costs 4.8 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· 37th of 51
$427
AK $1,413UT $295
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.