How much rates vary
Facilitymedian $871 · 10th to 90th $123 to $6,607Professionalmedian $83 · 10th to 90th $55 to $178
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 $478.63 Median $5,128.61 Typical High $15,135.61 | Facility | None | $478.63 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $134.90 | Professional | None | $54.95 | $87.10 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $194.98 | Professional | None | $56.23 | $57.54 | $194.98 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $724.44 Typical High $4,570.88 | Facility | None | $97.72 | $724.44 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $104.71 | Professional | None | $47.86 | $67.61 | $104.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $52.48 Median $117.49 Typical High $144.54 | Professional | None | $52.48 | $117.49 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $2,691.53 | Facility | None | $537.03 | $741.31 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $147.91 | Professional | None | $60.26 | $95.50 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $141.25 | Professional | None | $57.54 | $81.28 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $107.15 Typical High $208.93 | Professional | None | $52.48 | $107.15 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | None | $83.18 | $83.18 | $138.04 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $602.56 Typical High $2,511.89 | Facility | None | $69.18 | $602.56 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $144.54 | Professional | None | $60.26 | $93.33 | $144.54 |
Sutter Health Plus Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Sutter Health Plus Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $316.23 | Professional | None | $199.53 | $199.53 | $316.23 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $3,090.30 | Facility | None | $123.03 | $549.54 | $3,090.30 |
United Setting Professional Modifier None Typical Low $48.98 Median $83.18 Typical High $165.96 | Professional | None | $48.98 | $83.18 | $165.96 |
3 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 $41.69 Median $61.66 Typical High $75.86 | Professional | 54 · Surgery only | $41.69 | $61.66 | $75.86 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 50 · Both sides | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $123.03 Typical High $158.49 | Professional | 50 · Both sides | $91.20 | $123.03 | $158.49 |
Where California sits
The same service costs 3.6 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· 46th of 51
$85.11
AK $251KY $69.18
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.