How much rates vary
Facilitymedian $3,631 · 10th to 90th $95 to $9,772Professionalmedian $145 · 10th to 90th $29 to $617
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 $478.63 Median $5,128.61 Typical High $15,135.61 | Facility | None | $478.63 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $125.89 Typical High $208.93 | Professional | None | $28.18 | $125.89 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,772.37 | Facility | None | $2,137.96 | $4,786.30 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $131.83 Typical High $295.12 | Professional | None | $35.48 | $131.83 | $295.12 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $3,388.44 Typical High $7,585.78 | Facility | None | $69.18 | $3,388.44 | $7,585.78 |
Blue Shield Setting Professional Modifier None Typical Low $22.91 Median $123.03 Typical High $239.88 | Professional | None | $22.91 | $123.03 | $239.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $30.90 Median $162.18 Typical High $199.53 | Professional | None | $30.90 | $162.18 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $95.50 Typical High $251.19 | Professional | None | $30.90 | $95.50 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.18 Median $141.25 Typical High $190.55 | Professional | None | $28.18 | $141.25 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $117.49 Typical High $229.09 | Professional | None | $25.70 | $117.49 | $229.09 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | None | $954.99 | $1,122.02 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $186.21 | Professional | None | $33.11 | $112.20 | $186.21 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $151.36 Typical High $295.12 | Facility | None | $28.84 | $151.36 | $295.12 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $93.33 Typical High $251.19 | Professional | None | $30.90 | $93.33 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $512.86 | Professional | None | $100.00 | $100.00 | $512.86 |
United Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $6,918.31 | Facility | None | $588.84 | $1,584.89 | $6,918.31 |
United Setting Professional Modifier None Typical Low $25.70 Median $125.89 Typical High $275.42 | Professional | None | $25.70 | $125.89 | $275.42 |
3 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 54 · Surgery only Typical Low $21.88 Median $91.20 Typical High $138.04 | Professional | 54 · Surgery only | $21.88 | $91.20 | $138.04 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $22.91 Typical High $46.77 | Professional | 80 · Assistant surgeon | $5.62 | $22.91 | $46.77 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $20.42 Typical High $40.74 | Professional | AS · PA/NP assist | $4.90 | $20.42 | $40.74 |
Where California sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 18th of 51
$151
WI $245MD $52.48
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.