How much rates vary
Facilitymedian $1,023 · 10th to 90th $245 to $6,918Professionalmedian $263 · 10th to 90th $174 to $933
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 $177.83 Median $251.19 Typical High $478.63 | Professional | None | $177.83 | $251.19 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $977.24 | Professional | None | $144.54 | $162.18 | $977.24 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,023.29 Typical High $4,570.88 | Facility | None | $100.00 | $1,023.29 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $346.74 | Professional | None | $173.78 | $245.47 | $346.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $512.86 | Professional | None | $213.80 | $380.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $1,023.29 | Facility | None | $218.78 | $338.84 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $457.09 | Professional | None | $190.55 | $281.84 | $457.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $389.05 | Professional | None | $194.98 | $288.40 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $602.56 | Professional | None | $173.78 | $302.00 | $602.56 |
Lucent Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,398.83 | Professional | None | $2,041.74 | $2,041.74 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | None | $229.09 | $229.09 | $380.19 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $2,570.40 | Facility | None | $218.78 | $371.54 | $2,570.40 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $436.52 | Professional | None | $190.55 | $275.42 | $436.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
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 $173.78 Median $257.04 Typical High $478.63 | Professional | None | $173.78 | $257.04 | $478.63 |
10 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 $93.33 Median $97.72 Typical High $138.04 | Facility | 52 · Reduced service | $93.33 | $97.72 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $38.90 Typical High $54.95 | Facility | 53 · Discontinued | $37.15 | $38.90 | $54.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $138.04 Median $147.91 Typical High $208.93 | Facility | 54 · Surgery only | $138.04 | $147.91 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $27.54 Median $29.51 Typical High $41.69 | Facility | 55 · Aftercare only | $27.54 | $29.51 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.50 Typical High $27.54 | Facility | 56 · Pre-op care only | $18.62 | $19.50 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $93.33 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $37.15 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $169.82 Typical High $208.93 | Professional | 54 · Surgery only | $138.04 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $33.88 Typical High $41.69 | Professional | 55 · Aftercare only | $27.54 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $22.91 Typical High $27.54 | Professional | 56 · Pre-op care only | $18.62 | $22.91 | $27.54 |
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· 39th of 51
$275
AK $832FL $234
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.