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 $933.25 Median $5,128.61 Typical High $15,135.61 | Facility | None | $933.25 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $691.83 Typical High $933.25 | Professional | None | $83.18 | $691.83 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $5,011.87 Typical High $10,000.00 | Facility | None | $2,511.89 | $5,011.87 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $676.08 Typical High $1,995.26 | Professional | None | $81.28 | $676.08 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,348.96 Typical High $4,897.79 | Facility | None | $100.00 | $1,348.96 | $4,897.79 |
Blue Shield Setting Professional Modifier None Typical Low $61.66 Median $478.63 Typical High $1,047.13 | Professional | None | $61.66 | $478.63 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $87.10 Median $831.76 Typical High $1,148.15 | Professional | None | $87.10 | $831.76 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $2,238.72 Typical High $3,981.07 | Facility | None | $61.66 | $2,238.72 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $707.95 Typical High $1,380.38 | Professional | None | $81.28 | $707.95 | $1,380.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $724.44 Typical High $977.24 | Professional | None | $77.62 | $724.44 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $645.65 Typical High $1,348.96 | Professional | None | $72.44 | $645.65 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,623.41 | Professional | None | $4,466.84 | $4,466.84 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $870.96 | Professional | None | $524.81 | $524.81 | $870.96 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $2,089.30 Typical High $3,801.89 | Facility | None | $66.07 | $2,089.30 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $691.83 Typical High $1,318.26 | Professional | None | $81.28 | $691.83 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $2,511.89 | Professional | None | $269.15 | $269.15 | $2,511.89 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $4,786.30 | Facility | None | $398.11 | $1,230.27 | $4,786.30 |
United Setting Professional Modifier None Typical Low $69.18 Median $602.56 Typical High $1,380.38 | Professional | None | $69.18 | $602.56 | $1,380.38 |
1 more rate 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 $61.66 Median $416.87 Typical High $616.60 | Professional | 54 · Surgery only | $61.66 | $416.87 | $616.60 |
Where California sits
The same service costs 7.8 times more in Alaska 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· 22nd of 51
$692
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.