How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $9,772Professionalmedian $275 · 10th to 90th $219 to $1,862
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 $239.88 Median $245.47 Typical High $281.84 | Professional | None | $239.88 | $245.47 | $281.84 |
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 $263.03 Median $275.42 Typical High $524.81 | Professional | None | $263.03 | $275.42 | $524.81 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $1,230.27 Typical High $5,011.87 | Facility | None | $97.72 | $1,230.27 | $5,011.87 |
Blue Shield Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $331.13 | Professional | None | $190.55 | $275.42 | $331.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | None | $234.42 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $6,606.93 Typical High $11,748.98 | Facility | None | $758.58 | $6,606.93 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $416.87 | Professional | None | $245.47 | $288.40 | $416.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $309.03 | Professional | None | $257.04 | $281.84 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $524.81 | Professional | None | $218.78 | $245.47 | $524.81 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,862.09 | $1,949.84 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $6,309.57 Typical High $11,481.54 | Facility | None | $660.69 | $6,309.57 | $11,481.54 |
Providence Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $407.38 | Professional | None | $245.47 | $275.42 | $407.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,456.54 | Facility | None | $616.60 | $1,621.81 | $6,456.54 |
United Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $416.87 | Professional | None | $204.17 | $269.15 | $416.87 |
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 $120.23 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $186.21 Typical High $213.80 | Professional | 54 · Surgery only | $177.83 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $37.15 Typical High $42.66 | Professional | 55 · Aftercare only | $36.31 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $24.55 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.99 | $24.55 | $28.18 |
Where California sits
The same service costs 4.3 times more in Alaska than in Florida. 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
$288
AK $1,047FL $245
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.