How much rates vary
Facilitymedian $2,188 · 10th to 90th $589 to $7,413Professionalmedian $107 · 10th to 90th $89 to $234
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 $1,513.56 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,513.56 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $154.88 | Professional | None | $89.13 | $107.15 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $223.87 | Professional | None | $85.11 | $107.15 | $223.87 |
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 $91.20 Median $107.15 Typical High $186.21 | Professional | None | $91.20 | $107.15 | $186.21 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,047.13 Typical High $6,456.54 | Facility | None | $100.00 | $1,047.13 | $6,456.54 |
Blue Shield Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $128.82 | Professional | None | $72.44 | $104.71 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | None | $104.71 | $123.03 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $3,548.13 | Facility | None | $676.08 | $2,187.76 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $165.96 | Professional | None | $97.72 | $107.15 | $165.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $120.23 | Professional | None | $83.18 | $109.65 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $229.09 | Professional | None | $93.33 | $107.15 | $229.09 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $2,187.76 Typical High $4,466.84 | Facility | None | $537.03 | $2,187.76 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $165.96 | Professional | None | $97.72 | $107.15 | $165.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
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 $83.18 Median $104.71 Typical High $165.96 | Professional | None | $83.18 | $104.71 | $165.96 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 59 · Distinct service | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $46.77 Median $61.66 Typical High $128.82 | Professional | 62 · Two surgeons | $46.77 | $61.66 | $128.82 |
Where California sits
The same service costs 13.3 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $4,506MT $340
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.