How much rates vary
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 $1,000.00 Median $5,128.61 Typical High $15,135.61 | Facility | None | $1,000.00 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $794.33 Typical High $1,318.26 | Professional | None | $181.97 | $794.33 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $724.44 Typical High $2,137.96 | Professional | None | $223.87 | $724.44 | $2,137.96 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $851.14 Typical High $6,165.95 | Facility | None | $100.00 | $851.14 | $6,165.95 |
Blue Shield Setting Professional Modifier None Typical Low $138.04 Median $616.60 Typical High $1,348.96 | Professional | None | $138.04 | $616.60 | $1,348.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $147.91 Median $933.25 Typical High $1,148.15 | Professional | None | $147.91 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,995.26 | Facility | None | $602.56 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $724.44 Typical High $1,348.96 | Professional | None | $173.78 | $724.44 | $1,348.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $158.49 Median $707.95 Typical High $1,122.02 | Professional | None | $158.49 | $707.95 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $724.44 Typical High $1,584.89 | Professional | None | $147.91 | $724.44 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,456.54 | Professional | None | $5,248.07 | $5,248.07 | $6,456.54 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | None | $602.56 | $602.56 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $1,071.52 Typical High $2,754.23 | Facility | None | $501.19 | $1,071.52 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $173.78 Median $724.44 Typical High $1,348.96 | Professional | None | $173.78 | $724.44 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $2,511.89 | Professional | None | $524.81 | $524.81 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $141.25 Median $616.60 Typical High $1,445.44 | Professional | None | $141.25 | $616.60 | $1,445.44 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $501.19 Typical High $691.83 | Professional | 54 · Surgery only | $134.90 | $501.19 | $691.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $281.84 Median $1,000.00 Typical High $1,949.84 | Professional | 50 · Both sides | $281.84 | $1,000.00 | $1,949.84 |
Where California sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 15th of 51
$851
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.