How much rates vary
Facilitymedian $3,090 · 10th to 90th $646 to $10,000Professionalmedian $646 · 10th to 90th $490 to $4,074
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 $562.34 Median $602.56 Typical High $1,778.28 | Professional | None | $562.34 | $602.56 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,137.96 | $5,128.61 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $2,238.72 | Professional | None | $588.84 | $645.65 | $2,238.72 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $5,754.40 | Facility | None | $100.00 | $1,949.84 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,479.11 | Professional | None | $436.52 | $616.60 | $1,479.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $602.56 | Professional | None | $316.23 | $489.78 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $6,918.31 Typical High $12,302.69 | Facility | None | $758.58 | $6,918.31 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,548.82 | Professional | None | $524.81 | $616.60 | $1,548.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $645.65 | Professional | None | $251.19 | $537.03 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $1,288.25 | Professional | None | $478.63 | $602.56 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,168.69 | Professional | None | $4,073.80 | $4,073.80 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $6,309.57 Typical High $11,481.54 | Facility | None | $630.96 | $6,309.57 | $11,481.54 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $1,548.82 | Professional | None | $524.81 | $602.56 | $1,548.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,456.54 | Facility | None | $616.60 | $1,621.81 | $6,456.54 |
United Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,659.59 | Professional | None | $436.52 | $616.60 | $1,659.59 |
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 $281.84 Median $302.00 Typical High $316.23 | Professional | 52 · Reduced service | $281.84 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $467.74 | Professional | 54 · Surgery only | $416.87 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $60.26 Typical High $63.10 | Professional | 56 · Pre-op care only | $56.23 | $60.26 | $63.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $870.96 Typical High $1,949.84 | Professional | 50 · Both sides | $676.08 | $870.96 | $1,949.84 |
Where California sits
The same service costs 3.9 times more in Alaska than in New York. 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· 25th of 51
$851
AK $2,239NY $575
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.