How much rates vary
Facilitymedian $3,311 · 10th to 90th $562 to $8,710Professionalmedian $427 · 10th to 90th $309 to $2,570
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 $354.81 Median $380.19 Typical High $1,584.89 | Professional | None | $354.81 | $380.19 | $1,584.89 |
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 $407.38 Median $457.09 Typical High $1,412.54 | Professional | None | $407.38 | $457.09 | $1,412.54 |
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 $288.40 Median $416.87 Typical High $977.24 | Professional | None | $288.40 | $416.87 | $977.24 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $380.19 | Professional | None | $194.98 | $309.03 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $3,981.07 Typical High $6,760.83 | Facility | None | $426.58 | $3,981.07 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $977.24 | Professional | None | $338.84 | $389.05 | $977.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $407.38 | Professional | None | $154.88 | $338.84 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $812.83 | Professional | None | $309.03 | $389.05 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,570.40 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Providence Setting Facility Modifier None Typical Low $407.38 Median $3,548.13 Typical High $6,309.57 | Facility | None | $407.38 | $3,548.13 | $6,309.57 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $977.24 | Professional | None | $338.84 | $380.19 | $977.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $275.42 Median $389.05 Typical High $1,047.13 | Professional | None | $275.42 | $389.05 | $1,047.13 |
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 $177.83 Median $190.55 Typical High $199.53 | Professional | 52 · Reduced service | $177.83 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $288.40 Typical High $295.12 | Professional | 54 · Surgery only | $263.03 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $39.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $524.81 Typical High $1,230.27 | Professional | 50 · Both sides | $398.11 | $524.81 | $1,230.27 |
Where California sits
The same service costs 7.8 times more in Oklahoma 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
$575
OK $2,630NY $339
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.