How much rates vary
Facilitymedian $832 · 10th to 90th $98 to $6,166Professionalmedian $155 · 10th to 90th $91 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 $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 $87.10 Median $117.49 Typical High $229.09 | Professional | None | $87.10 | $117.49 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $120.23 | Professional | None | $89.13 | $95.50 | $120.23 |
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 $100.00 Median $154.88 Typical High $489.78 | Professional | None | $100.00 | $154.88 | $489.78 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,000.00 Typical High $4,570.88 | Facility | None | $100.00 | $1,000.00 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $269.15 | Professional | None | $125.89 | $181.97 | $269.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $97.72 Median $158.49 Typical High $645.65 | Professional | None | $97.72 | $158.49 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $758.58 | Facility | None | $85.11 | $138.04 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $147.91 Typical High $234.42 | Professional | None | $91.20 | $147.91 | $234.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $363.08 | Professional | None | $87.10 | $141.25 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $251.19 | Professional | None | $77.62 | $123.03 | $251.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,778.28 | $1,778.28 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | None | $95.50 | $95.50 | $158.49 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $194.98 Typical High $2,570.40 | Facility | None | $89.13 | $194.98 | $2,570.40 |
Providence Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $218.78 | Professional | None | $91.20 | $144.54 | $218.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | None | $323.59 | $323.59 | $331.13 |
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 $77.62 Median $120.23 Typical High $218.78 | Professional | None | $77.62 | $120.23 | $218.78 |
12 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 $47.86 Median $52.48 Typical High $64.57 | Facility | 52 · Reduced service | $47.86 | $52.48 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $25.70 | Facility | 53 · Discontinued | $19.05 | $20.89 | $25.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $77.62 Typical High $95.50 | Facility | 54 · Surgery only | $72.44 | $77.62 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $15.49 Typical High $19.50 | Facility | 55 · Aftercare only | $14.45 | $15.49 | $19.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.47 Typical High $12.88 | Facility | 56 · Pre-op care only | $9.55 | $10.47 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $20.89 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | 54 · Surgery only | $67.61 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $15.49 Typical High $19.50 | Professional | 55 · Aftercare only | $13.49 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.47 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.12 | $10.47 | $12.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | 50 · Both sides | $141.25 | $141.25 | $162.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $165.96 Typical High $354.81 | Professional | 50 · Both sides | $138.04 | $165.96 | $354.81 |
Where California sits
The same service costs 3.7 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· 23rd of 51
$155
AK $363FL $97.72
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.