How much rates vary
Facilitymedian $501 · 10th to 90th $48 to $5,623Professionalmedian $83 · 10th to 90th $52 to $224
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 $56.23 Median $83.18 Typical High $141.25 | Professional | None | $56.23 | $83.18 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
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 $75.86 Median $81.28 Typical High $223.87 | Professional | None | $75.86 | $81.28 | $223.87 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $426.58 Typical High $1,479.11 | Facility | None | $97.72 | $426.58 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $97.72 | Professional | None | $52.48 | $74.13 | $97.72 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $199.53 | Professional | None | $50.12 | $70.79 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $758.58 | Facility | None | $33.88 | $54.95 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $131.83 | Professional | None | $70.79 | $85.11 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $114.82 | Professional | None | $44.67 | $63.10 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $125.89 | Professional | None | $39.81 | $56.23 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Professional | None | $436.52 | $446.68 | $446.68 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | None | $43.65 | $43.65 | $72.44 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $85.11 Typical High $2,570.40 | Facility | None | $36.31 | $85.11 | $2,570.40 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $109.65 | Professional | None | $70.79 | $85.11 | $109.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | None | $194.98 | $194.98 | $208.93 |
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 $46.77 Median $67.61 Typical High $125.89 | Professional | None | $46.77 | $67.61 | $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 $37.15 Median $40.74 Typical High $44.67 | Facility | 52 · Reduced service | $37.15 | $40.74 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $17.78 | Facility | 53 · Discontinued | $14.79 | $16.22 | $17.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $56.23 Median $60.26 Typical High $66.07 | Facility | 54 · Surgery only | $56.23 | $60.26 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $12.02 Typical High $13.18 | Facility | 55 · Aftercare only | $11.22 | $12.02 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.13 Typical High $8.91 | Facility | 56 · Pre-op care only | $7.41 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $58.88 Typical High $66.07 | Professional | 54 · Surgery only | $51.29 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $11.75 Typical High $13.18 | Professional | 55 · Aftercare only | $10.23 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.76 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.92 | $7.76 | $8.91 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $79.43 Typical High $169.82 | Professional | 50 · Both sides | $63.10 | $79.43 | $169.82 |
Where California sits
The same service costs 3.6 times more in Wyoming 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· 27th of 51
$83.18
WY $191FL $52.48
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.