How much rates vary
Facilitymedian $1,549 · 10th to 90th $407 to $6,457Professionalmedian $617 · 10th to 90th $457 to $3,802
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 $524.81 Median $575.44 Typical High $1,698.24 | Professional | None | $524.81 | $575.44 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $2,137.96 | Professional | None | $549.54 | $616.60 | $2,137.96 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,819.70 Typical High $5,011.87 | Facility | None | $100.00 | $1,819.70 | $5,011.87 |
Blue Shield Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $1,412.54 | Professional | None | $407.38 | $588.84 | $1,412.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $562.34 | Professional | None | $295.12 | $457.09 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $1,412.54 | Facility | None | $371.54 | $549.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,445.44 | Professional | None | $501.19 | $588.84 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $501.19 Typical High $602.56 | Professional | None | $234.42 | $501.19 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $1,202.26 | Professional | None | $457.09 | $575.44 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,801.89 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $2,754.23 | Facility | None | $398.11 | $616.60 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $1,445.44 | Professional | None | $501.19 | $562.34 | $1,445.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,202.26 Typical High $4,677.35 | Facility | None | $398.11 | $1,202.26 | $4,677.35 |
United Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $1,548.82 | Professional | None | $416.87 | $588.84 | $1,548.82 |
6 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 $263.03 Median $288.40 Typical High $295.12 | Professional | 52 · Reduced service | $263.03 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $398.11 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $57.54 Typical High $58.88 | Professional | 56 · Pre-op care only | $52.48 | $57.54 | $58.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $831.76 Typical High $1,819.70 | Professional | 50 · Both sides | $645.65 | $831.76 | $1,819.70 |
Where California sits
The same service costs 4.0 times more in Alaska 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· 34th of 51
$692
AK $2,089UT $525
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.