How much rates vary
Facilitymedian $5,623 · 10th to 90th $759 to $21,380Professionalmedian $676 · 10th to 90th $537 to $4,677
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 $3,548.13 Median $10,471.29 Typical High $23,442.29 | Facility | None | $3,548.13 | $10,471.29 | $23,442.29 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $630.96 | Professional | None | $549.54 | $588.84 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $13,489.63 Typical High $23,442.29 | Facility | None | $6,918.31 | $13,489.63 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $2,630.27 | Professional | None | $588.84 | $630.96 | $2,630.27 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $1,288.25 Typical High $3,019.95 | Facility | None | $97.72 | $1,288.25 | $3,019.95 |
Blue Shield Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $1,584.89 | Professional | None | $478.63 | $676.08 | $1,584.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $870.96 | Professional | None | $524.81 | $724.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $14,125.38 Typical High $25,703.96 | Facility | None | $758.58 | $14,125.38 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,659.59 | Professional | None | $602.56 | $741.31 | $1,659.59 |
Contra Costa Health Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $776.25 | Professional | None | $512.86 | $645.65 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,479.11 | Professional | None | $575.44 | $724.44 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,677.35 | $4,786.30 | $4,786.30 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $13,803.84 Typical High $23,988.33 | Facility | None | $707.95 | $13,803.84 | $23,988.33 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,778.28 | Professional | None | $602.56 | $724.44 | $1,778.28 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $20,417.38 | Facility | None | $2,884.03 | $6,760.83 | $20,417.38 |
United Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,995.26 | Professional | None | $489.78 | $707.95 | $1,995.26 |
6 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 Professional Modifier 52 · Reduced service Typical Low $269.15 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $109.65 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $426.58 Typical High $436.52 | Professional | 54 · Surgery only | $407.38 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $53.70 | $56.23 | $58.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $891.25 Typical High $2,187.76 | Professional | 50 · Both sides | $676.08 | $891.25 | $2,187.76 |
Where California sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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· 30th of 51
$871
OK $4,786UT $407
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.