How much rates vary
Facilitymedian $708 · 10th to 90th $263 to $5,623Professionalmedian $468 · 10th to 90th $316 to $1,479
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 $302.00 Median $371.54 Typical High $426.58 | Facility | None | $302.00 | $371.54 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $776.25 | Professional | None | $309.03 | $426.58 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $512.86 | Professional | None | $478.63 | $512.86 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,089.30 | Facility | None | $398.11 | $501.19 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $1,479.11 | Professional | None | $389.05 | $512.86 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $416.87 Typical High $1,548.82 | Facility | None | $91.20 | $416.87 | $1,548.82 |
Blue Shield Setting Professional Modifier None Typical Low $251.19 Median $407.38 Typical High $954.99 | Professional | None | $251.19 | $407.38 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $724.44 | Professional | None | $363.08 | $436.52 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $2,691.53 Typical High $5,623.41 | Facility | None | $1,174.90 | $2,691.53 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $933.25 | Professional | None | $338.84 | $457.09 | $933.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $794.33 | Professional | None | $398.11 | $537.03 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $1,122.02 | Professional | None | $389.05 | $602.56 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $5,011.87 | Professional | None | $3,981.07 | $3,981.07 | $5,011.87 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $812.83 | Professional | None | $489.78 | $489.78 | $812.83 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $5,623.41 | Facility | None | $389.05 | $707.95 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $977.24 | Professional | None | $338.84 | $457.09 | $977.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,122.02 | $1,513.56 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $1,202.26 | Professional | None | $302.00 | $478.63 | $1,202.26 |
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 Facility Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $213.80 | Facility | 52 · Reduced service | $151.36 | $158.49 | $213.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $46.77 Typical High $63.10 | Facility | 55 · Aftercare only | $45.71 | $46.77 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $42.66 | Facility | 56 · Pre-op care only | $30.20 | $31.62 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $190.55 Typical High $213.80 | Professional | 52 · Reduced service | $151.36 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $57.54 Typical High $63.10 | Professional | 55 · Aftercare only | $45.71 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.02 Typical High $42.66 | Professional | 56 · Pre-op care only | $30.20 | $38.02 | $42.66 |
Where California sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 46th of 51
$479
AK $1,380IN $447
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.