How much rates vary
Facilitymedian $380 · 10th to 90th $58 to $5,495Professionalmedian $74 · 10th to 90th $58 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 $70.79 Median $7,079.46 Typical High $18,197.01 | Facility | None | $70.79 | $7,079.46 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | None | $60.26 | $70.79 | $107.15 |
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 $64.57 Median $74.13 Typical High $229.09 | Professional | None | $64.57 | $74.13 | $229.09 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $416.87 Typical High $1,479.11 | Facility | None | $97.72 | $416.87 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $91.20 | Professional | None | $46.77 | $66.07 | $91.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $263.03 | Professional | None | $70.79 | $107.15 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $128.82 | Facility | None | $48.98 | $63.10 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $117.49 | Professional | None | $64.57 | $77.62 | $117.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | None | $63.10 | $95.50 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $177.83 | Professional | None | $56.23 | $87.10 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None | $562.34 | $562.34 | $660.69 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | None | $66.07 | $66.07 | $109.65 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $134.90 | Facility | None | $50.12 | $67.61 | $134.90 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $114.82 | Professional | None | $63.10 | $77.62 | $114.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None | $199.53 | $199.53 | $239.88 |
United Setting Facility Modifier None Typical Low $123.03 Median $524.81 Typical High $3,090.30 | Facility | None | $123.03 | $524.81 | $3,090.30 |
United Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $125.89 | Professional | None | $51.29 | $72.44 | $125.89 |
11 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 $32.36 Median $33.88 Typical High $38.02 | Facility | 52 · Reduced service | $32.36 | $33.88 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $15.14 | Facility | 53 · Discontinued | $12.88 | $13.49 | $15.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $47.86 Median $51.29 Typical High $57.54 | Facility | 54 · Surgery only | $47.86 | $51.29 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.55 Median $10.23 Typical High $11.48 | Facility | 55 · Aftercare only | $9.55 | $10.23 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.76 Typical High $7.59 | Facility | 56 · Pre-op care only | $6.46 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $33.88 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $51.29 Typical High $57.54 | Professional | 54 · Surgery only | $46.77 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.23 Typical High $11.48 | Professional | 55 · Aftercare only | $9.33 | $10.23 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.76 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.17 | $6.76 | $7.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $87.10 Median $107.15 Typical High $162.18 | Professional | 50 · Both sides | $87.10 | $107.15 | $162.18 |
Where California sits
The same service costs 3.8 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· 41st of 51
$75.86
AK $257FL $67.61
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.