How much rates vary
Facilitymedian $1,585 · 10th to 90th $631 to $6,761Professionalmedian $269 · 10th to 90th $186 to $1,660
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 $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
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 $257.04 Median $263.03 Typical High $467.74 | Professional | None | $257.04 | $263.03 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $1,230.27 Typical High $4,570.88 | Facility | None | $97.72 | $1,230.27 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $295.12 | Professional | None | $169.82 | $245.47 | $295.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | None | $208.93 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,096.48 Typical High $2,951.21 | Facility | None | $741.31 | $1,096.48 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $630.96 | Professional | None | $234.42 | $316.23 | $630.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $275.42 | Professional | None | $229.09 | $251.19 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $467.74 | Professional | None | $190.55 | $218.78 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,659.59 | $1,698.24 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $5,623.41 | Facility | None | $676.08 | $1,230.27 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $588.84 | Professional | None | $234.42 | $295.12 | $588.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $371.54 | Professional | None | $177.83 | $245.47 | $371.54 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where California sits
The same service costs 4.7 times more in Wyoming 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· 36th of 51
$269
WY $912UT $195
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.