How much rates vary
Facilitymedian $3,548 · 10th to 90th $151 to $10,965Professionalmedian $66 · 10th to 90th $49 to $1,905
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 $48.98 Median $53.70 Typical High $66.07 | Professional | None | $48.98 | $53.70 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $10,000.00 | Facility | None | $2,137.96 | $4,786.30 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $173.78 | Professional | None | $58.88 | $63.10 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $123.03 | Professional | None | $47.86 | $70.79 | $123.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $426.58 | Professional | None | $56.23 | $77.62 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | None | $52.48 | $63.10 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $245.47 | Professional | None | $53.70 | $72.44 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $123.03 | Professional | None | $46.77 | $61.66 | $123.03 |
Lucent Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,905.46 | $1,905.46 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $81.28 | Professional | None | $33.11 | $48.98 | $81.28 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $501.19 | Facility | None | $53.70 | $75.86 | $501.19 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $114.82 | Professional | None | $52.48 | $63.10 | $114.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None | $181.97 | $181.97 | $208.93 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,698.24 Typical High $7,244.36 | Facility | None | $602.56 | $1,698.24 | $7,244.36 |
United Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $128.82 | Professional | None | $45.71 | $61.66 | $128.82 |
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 $24.55 Median $26.92 Typical High $29.51 | Facility | 52 · Reduced service | $24.55 | $26.92 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $11.75 | Facility | 53 · Discontinued | $9.77 | $10.72 | $11.75 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $36.31 Median $39.81 Typical High $44.67 | Facility | 54 · Surgery only | $36.31 | $39.81 | $44.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $8.91 | Facility | 55 · Aftercare only | $7.24 | $7.94 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.37 Typical High $5.89 | Facility | 56 · Pre-op care only | $4.90 | $5.37 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $26.92 Typical High $32.36 | Professional | 52 · Reduced service | $24.55 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $9.77 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $39.81 Typical High $48.98 | Professional | 54 · Surgery only | $36.31 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $9.77 | Professional | 55 · Aftercare only | $7.24 | $7.94 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.37 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.90 | $5.37 | $6.46 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $89.13 Typical High $128.82 | Professional | 50 · Both sides | $72.44 | $89.13 | $128.82 |
Where California sits
The same service costs 3.4 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· 36th of 51
$67.61
AK $182FL $53.70
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.