How much rates vary
Facilitymedian $141 · 10th to 90th $72 to $479Professionalmedian $78 · 10th to 90th $62 to $832
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 $70.79 Median $77.62 Typical High $77.62 | Facility | None | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $104.71 | Professional | None | $67.61 | $77.62 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | None | $60.26 | $60.26 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $389.05 | Facility | None | $75.86 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $131.83 | Professional | None | $64.57 | $77.62 | $131.83 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $245.47 Typical High $870.96 | Facility | None | $74.13 | $245.47 | $870.96 |
Blue Shield Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $95.50 | Professional | None | $54.95 | $79.43 | $95.50 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $1,122.02 | Facility | None | $74.13 | $74.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | None | $69.18 | $74.13 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $75.86 | Professional | None | $56.23 | $69.18 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $120.23 | Professional | None | $57.54 | $64.57 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | None | $831.76 | $831.76 | $851.14 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $208.93 | Facility | None | $70.79 | $107.15 | $208.93 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | None | $69.18 | $74.13 | $112.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,737.80 | Facility | None | $1,122.02 | $1,122.02 | $1,737.80 |
United Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $114.82 | Professional | None | $56.23 | $69.18 | $114.82 |
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 $33.11 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $11.75 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $7.76 |
Where California sits
The same service costs 3.2 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· 31st of 51
$77.62
AK $182FL $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.