How much rates vary
Facilitymedian $2,884 · 10th to 90th $363 to $10,233Professionalmedian $1,862 · 10th to 90th $389 to $6,607
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 $1,949.84 Median $5,888.44 Typical High $15,848.93 | Facility | None | $1,949.84 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $1,862.09 Typical High $4,073.80 | Professional | None | $389.05 | $1,862.09 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $8,317.64 Typical High $16,982.44 | Facility | None | $4,466.84 | $8,317.64 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $3,019.95 Typical High $6,309.57 | Professional | None | $588.84 | $3,019.95 | $6,309.57 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $426.58 Typical High $4,897.79 | Facility | None | $97.72 | $426.58 | $4,897.79 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $1,380.38 Typical High $3,019.95 | Professional | None | $295.12 | $1,380.38 | $3,019.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $380.19 Median $2,570.40 Typical High $5,248.07 | Professional | None | $380.19 | $2,570.40 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $5,754.40 | Facility | None | $758.58 | $2,691.53 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $1,778.28 Typical High $3,311.31 | Professional | None | $380.19 | $1,778.28 | $3,311.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $416.87 Median $1,698.24 Typical High $5,128.61 | Professional | None | $416.87 | $1,698.24 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $3,311.31 Typical High $7,079.46 | Professional | None | $371.54 | $3,311.31 | $7,079.46 |
Lucent Health Setting Professional Modifier None Typical Low $17,782.79 Median $29,512.09 Typical High $29,512.09 | Professional | None | $17,782.79 | $29,512.09 | $29,512.09 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $2,951.21 Typical High $9,772.37 | Facility | None | $676.08 | $2,951.21 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $1,778.28 Typical High $3,311.31 | Professional | None | $380.19 | $1,778.28 | $3,311.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $6,025.60 | Professional | None | $1,230.27 | $1,230.27 | $6,025.60 |
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 $316.23 Median $1,479.11 Typical High $4,570.88 | Professional | None | $316.23 | $1,479.11 | $4,570.88 |
9 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 Facility Modifier 52 · Reduced service Typical Low $204.17 Median $208.93 Typical High $1,122.02 | Facility | 52 · Reduced service | $204.17 | $208.93 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $457.09 | Facility | 53 · Discontinued | $81.28 | $83.18 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $63.10 Typical High $338.84 | Facility | 55 · Aftercare only | $60.26 | $63.10 | $338.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $41.69 Typical High $229.09 | Facility | 56 · Pre-op care only | $40.74 | $41.69 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $741.31 Typical High $1,047.13 | Professional | 52 · Reduced service | $194.98 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $295.12 Typical High $416.87 | Professional | 53 · Discontinued | $77.62 | $295.12 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $1,122.02 Typical High $1,548.82 | Professional | 54 · Surgery only | $295.12 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $223.87 Typical High $309.03 | Professional | 55 · Aftercare only | $58.88 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $147.91 Typical High $208.93 | Professional | 56 · Pre-op care only | $38.90 | $147.91 | $208.93 |
Where California sits
The same service costs 3.6 times more in Iowa 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
$1,950
IA $2,692NE $741
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.