How much rates vary
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $3,981.07 Typical High $7,244.36 | Facility | None | $380.19 | $3,981.07 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $2,454.71 Typical High $4,570.88 | Professional | None | $134.90 | $2,454.71 | $4,570.88 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $2,454.71 Typical High $3,630.78 | Facility | None | $77.62 | $2,454.71 | $3,630.78 |
Blue Shield Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $6,025.60 | Professional | None | $2,398.83 | $2,818.38 | $6,025.60 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,398.83 | $3,162.28 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $5,370.32 Typical High $8,128.31 | Facility | None | $2,691.53 | $5,370.32 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,454.71 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $3,548.13 Typical High $7,244.36 | Facility | None | $218.78 | $3,548.13 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $2,691.53 Typical High $2,691.53 | Professional | None | $125.89 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $5,754.40 | Facility | None | $2,511.89 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $6,456.54 | Professional | None | $2,511.89 | $2,951.21 | $6,456.54 |
4 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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Where California sits
The same service costs 25.1 times more in Arizona than in Montana. 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· 23rd of 51
$2,630
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.