How much rates vary
Facilitymedian $1,585 · 10th to 90th $129 to $8,913Professionalmedian $105 · 10th to 90th $74 to $316
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 $354.81 Median $5,128.61 Typical High $15,135.61 | Facility | None | $354.81 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $151.36 | Professional | None | $72.44 | $100.00 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
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 $87.10 Median $87.10 Typical High $309.03 | Professional | None | $87.10 | $87.10 | $309.03 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $134.90 | Professional | None | $58.88 | $85.11 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $177.83 | Professional | None | $69.18 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $2,691.53 | Facility | None | $630.96 | $912.01 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | None | $83.18 | $114.82 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $173.78 | Professional | None | $69.18 | $81.28 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $281.84 | Professional | None | $70.79 | $134.90 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None | $851.14 | $851.14 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | None | $102.33 | $102.33 | $173.78 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $676.08 Typical High $2,691.53 | Facility | None | $85.11 | $676.08 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | None | $83.18 | $114.82 | $173.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Professional | None | $263.03 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $3,090.30 | Facility | None | $123.03 | $537.03 | $3,090.30 |
United Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $194.98 | Professional | None | $66.07 | $104.71 | $194.98 |
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 $37.15 Median $39.81 Typical High $57.54 | Facility | 52 · Reduced service | $37.15 | $39.81 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $23.44 | Facility | 53 · Discontinued | $15.14 | $16.22 | $23.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $12.02 Typical High $17.38 | Facility | 55 · Aftercare only | $11.22 | $12.02 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.13 Typical High $11.48 | Facility | 56 · Pre-op care only | $7.41 | $8.13 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $47.86 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $14.45 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $70.79 Typical High $87.10 | Professional | 54 · Surgery only | $54.95 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.13 Typical High $17.38 | Professional | 55 · Aftercare only | $10.96 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.55 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.24 | $9.55 | $11.48 |
Where California sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 43rd of 51
$105
AK $331FL $93.33
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.