How much rates vary
Facilitymedian $5,370 · 10th to 90th $631 to $151,356Professionalmedian $1,230 · 10th to 90th $851 to $6,457
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 $776.25 Median $831.76 Typical High $851.14 | Facility | None | $776.25 | $831.76 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,380.38 | Professional | None | $776.25 | $891.25 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,912.51 Typical High $18,620.87 | Facility | None | $5,011.87 | $8,912.51 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,630.78 | Professional | None | $1,122.02 | $1,258.93 | $3,630.78 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $4,786.30 Typical High $10,000.00 | Facility | None | $67.61 | $4,786.30 | $10,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $2,818.38 | Professional | None | $977.24 | $1,380.38 | $2,818.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $954.99 | Professional | None | $691.83 | $933.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,511.89 | Professional | None | $870.96 | $1,047.13 | $2,511.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,023.29 | Professional | None | $549.54 | $851.14 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $2,290.87 | Professional | None | $758.58 | $1,000.00 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,585.78 | Professional | None | $6,456.54 | $6,456.54 | $7,585.78 |
Molina Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $151,356.12 Typical High $251,188.64 | Facility | None | $831.76 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,511.89 | Professional | None | $870.96 | $1,047.13 | $2,511.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $741.31 Median $1,071.52 Typical High $2,630.27 | Professional | None | $741.31 | $1,071.52 | $2,630.27 |
4 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 $389.05 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $389.05 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $154.88 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $213.80 Typical High $371.54 | Professional | 80 · Assistant surgeon | $144.54 | $213.80 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $190.55 Typical High $323.59 | Professional | AS · PA/NP assist | $128.82 | $190.55 | $323.59 |
Where California sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 18th of 51
$1,380
AK $2,951UT $871
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.