How much rates vary
Facilitymedian $380 · 10th to 90th $50 to $5,495Professionalmedian $60 · 10th to 90th $45 to $339
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 $57.54 Median $7,079.46 Typical High $18,197.01 | Facility | None | $57.54 | $7,079.46 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $61.66 | Professional | None | $46.77 | $51.29 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
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 $45.71 Median $51.29 Typical High $173.78 | Professional | None | $45.71 | $51.29 | $173.78 |
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 $40.74 Median $58.88 Typical High $83.18 | Professional | None | $40.74 | $58.88 | $83.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $380.19 | Professional | None | $51.29 | $87.10 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $109.65 | Facility | None | $42.66 | $56.23 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $104.71 | Professional | None | $46.77 | $61.66 | $104.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $45.71 Median $77.62 Typical High $213.80 | Professional | None | $45.71 | $77.62 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $66.07 Typical High $128.82 | Professional | None | $40.74 | $66.07 | $128.82 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $1,905.46 Typical High $1,905.46 | Professional | None | $912.01 | $1,905.46 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $87.10 | Professional | None | $52.48 | $52.48 | $87.10 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $208.93 | Facility | None | $44.67 | $60.26 | $208.93 |
Providence Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $100.00 | Professional | None | $46.77 | $58.88 | $100.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | None | $162.18 | $162.18 | $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 $40.74 Median $57.54 Typical High $107.15 | Professional | None | $40.74 | $57.54 | $107.15 |
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 $22.91 Median $24.55 Typical High $30.90 | Facility | 52 · Reduced service | $22.91 | $24.55 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $12.30 | Facility | 53 · Discontinued | $9.33 | $9.77 | $12.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $34.67 Median $36.31 Typical High $45.71 | Facility | 54 · Surgery only | $34.67 | $36.31 | $45.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.92 Median $7.41 Typical High $9.12 | Facility | 55 · Aftercare only | $6.92 | $7.41 | $9.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.90 Typical High $6.17 | Facility | 56 · Pre-op care only | $4.68 | $4.90 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $25.70 Typical High $30.90 | Professional | 52 · Reduced service | $22.91 | $25.70 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $12.30 | Professional | 53 · Discontinued | $9.33 | $10.23 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | 54 · Surgery only | $34.67 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.59 Typical High $9.12 | Professional | 55 · Aftercare only | $6.92 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.13 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.68 | $5.13 | $6.17 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $93.33 Typical High $223.87 | Professional | 50 · Both sides | $77.62 | $93.33 | $223.87 |
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· 43rd of 51
$61.66
AK $191FL $51.29
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.