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 $61.66 Median $5,011.87 Typical High $15,135.61 | Facility | None | $61.66 | $5,011.87 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $75.86 | Professional | None | $32.36 | $45.71 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $46.77 Typical High $46.77 | Professional | None | $20.42 | $46.77 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $107.15 | Professional | None | $30.90 | $31.62 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $426.58 Typical High $4,570.88 | Facility | None | $97.72 | $426.58 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $74.13 | Professional | None | $35.48 | $54.95 | $74.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $67.61 | Professional | None | $29.51 | $38.90 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $676.08 | Facility | None | $31.62 | $48.98 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $74.13 | Professional | None | $33.88 | $46.77 | $74.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $66.07 | Professional | None | $28.18 | $35.48 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $95.50 | Professional | None | $30.20 | $53.70 | $95.50 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | None | $363.08 | $363.08 | $426.58 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | None | $42.66 | $42.66 | $70.79 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $660.69 | Facility | None | $32.36 | $50.12 | $660.69 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $72.44 | Professional | None | $33.88 | $46.77 | $72.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None | $112.20 | $112.20 | $158.49 |
United Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $3,090.30 | Facility | None | $123.03 | $501.19 | $3,090.30 |
United Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $79.43 | Professional | None | $28.18 | $44.67 | $79.43 |
2 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 54 · Surgery only Typical Low $23.99 Median $30.90 Typical High $38.02 | Professional | 54 · Surgery only | $23.99 | $30.90 | $38.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $67.61 Typical High $85.11 | Professional | 50 · Both sides | $51.29 | $67.61 | $85.11 |
Where California sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 42nd of 51
$46.77
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.