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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | None | $251.19 | $251.19 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $5,011.87 Typical High $10,000.00 | Facility | None | $2,511.89 | $5,011.87 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $457.09 Typical High $616.60 | Professional | None | $112.20 | $457.09 | $616.60 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $758.58 Typical High $4,786.30 | Facility | None | $95.50 | $758.58 | $4,786.30 |
Blue Shield Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $204.17 | Professional | None | $112.20 | $158.49 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | None | $107.15 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,047.13 Typical High $2,691.53 | Facility | None | $616.60 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $338.84 | Professional | None | $131.83 | $194.98 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $436.52 | Professional | None | $102.33 | $125.89 | $436.52 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $691.83 Typical High $2,691.53 | Facility | None | $138.04 | $691.83 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $338.84 | Professional | None | $125.89 | $194.98 | $338.84 |
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 $70.79 Median $112.20 Typical High $204.17 | Professional | None | $70.79 | $112.20 | $204.17 |
1 more rate 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 $181.97 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $181.97 | $186.21 | $186.21 |
Where California sits
The same service costs 4.8 times more in Indiana 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· 14th of 51
$224
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.