How much rates vary
Facilitymedian $891 · 10th to 90th $661 to $2,951Professionalmedian $724 · 10th to 90th $550 to $5,370
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 $602.56 Median $660.69 Typical High $660.69 | Facility | None | $602.56 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,288.25 | Professional | None | $602.56 | $676.08 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $3,715.35 | Facility | None | $724.44 | $912.01 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,230.27 | Professional | None | $630.96 | $741.31 | $1,230.27 |
Blue Shield Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $758.58 | Professional | None | $446.68 | $645.65 | $758.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | None | $794.33 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $977.24 | Professional | None | $630.96 | $660.69 | $977.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $1,023.29 | Professional | None | $537.03 | $933.25 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,862.09 | Professional | None | $758.58 | $851.14 | $1,862.09 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,370.32 | $6,606.93 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,380.38 | Facility | None | $602.56 | $912.01 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $977.24 | Professional | None | $630.96 | $660.69 | $977.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,023.29 | Professional | None | $489.78 | $691.83 | $1,023.29 |
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 $288.40 Median $302.00 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $138.04 | Professional | 53 · Discontinued | $114.82 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $91.20 Typical High $102.33 | Professional | 55 · Aftercare only | $85.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $69.18 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $69.18 |
Where California sits
The same service costs 3.2 times more in Alaska than in New York. 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· 43rd of 51
$724
AK $1,778NY $562
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.