How much rates vary
Facilitymedian $776 · 10th to 90th $155 to $6,310Professionalmedian $148 · 10th to 90th $107 to $427
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 $288.40 Median $5,011.87 Typical High $15,135.61 | Facility | None | $288.40 | $5,011.87 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $257.04 | Professional | None | $107.15 | $147.91 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | None | $102.33 | $102.33 | $109.65 |
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 $125.89 Median $128.82 Typical High $436.52 | Professional | None | $125.89 | $128.82 | $436.52 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $724.44 Typical High $4,570.88 | Facility | None | $100.00 | $724.44 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $194.98 | Professional | None | $83.18 | $123.03 | $194.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $263.03 | Professional | None | $93.33 | $125.89 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $870.96 | Facility | None | $120.23 | $223.87 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $257.04 | Professional | None | $117.49 | $162.18 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $263.03 | Professional | None | $60.26 | $125.89 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $199.53 Typical High $380.19 | Professional | None | $104.71 | $199.53 | $380.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,258.93 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | None | $151.36 | $151.36 | $251.19 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $213.80 Typical High $870.96 | Facility | None | $120.23 | $213.80 | $870.96 |
Providence Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $251.19 | Professional | None | $117.49 | $162.18 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | None | $371.54 | $371.54 | $562.34 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,202.26 Typical High $4,677.35 | Facility | None | $398.11 | $1,202.26 | $4,677.35 |
United Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $288.40 | Professional | None | $93.33 | $151.36 | $288.40 |
9 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 $53.70 Median $58.88 Typical High $83.18 | Facility | 52 · Reduced service | $53.70 | $58.88 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $33.11 | Facility | 53 · Discontinued | $21.38 | $23.44 | $33.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $17.38 Typical High $25.12 | Facility | 55 · Aftercare only | $16.22 | $17.38 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.75 Typical High $16.60 | Facility | 56 · Pre-op care only | $10.72 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.92 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $102.33 Typical High $125.89 | Professional | 54 · Surgery only | $77.62 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.42 Typical High $25.12 | Professional | 55 · Aftercare only | $15.85 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.49 Typical High $16.60 | Professional | 56 · Pre-op care only | $10.47 | $13.49 | $16.60 |
Where California sits
The same service costs 3.3 times more in Alaska than in Virginia. 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
$155
AK $468VA $141
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.