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 $40.74 Median $47.86 Typical High $147.91 | Facility | None | $40.74 | $47.86 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $79.43 | Professional | None | $40.74 | $46.77 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $186.21 | Professional | None | $39.81 | $40.74 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $58.88 Typical High $69.18 | Facility | None | $43.65 | $58.88 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $109.65 | Professional | None | $44.67 | $60.26 | $109.65 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $72.44 | Facility | None | $48.98 | $51.29 | $72.44 |
Blue Shield Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $109.65 | Professional | None | $40.74 | $50.12 | $109.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $60.26 | Professional | None | $36.31 | $44.67 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $141.25 | Facility | None | $51.29 | $75.86 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $112.20 | Professional | None | $36.31 | $47.86 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $79.43 | Professional | None | $54.95 | $66.07 | $79.43 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $131.83 | Facility | None | $40.74 | $72.44 | $131.83 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | None | $43.65 | $56.23 | $56.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $120.23 | Professional | None | $56.23 | $60.26 | $120.23 |
2 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 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Where California sits
The same service costs 2.0 times more in Minnesota than in Alabama. 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· 10th of 51
$57.54
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.