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 $17.78 Median $19.95 Typical High $19.95 | Facility | None | $17.78 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $19.95 | Professional | None | $16.98 | $17.78 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $28.18 Typical High $114.82 | Facility | None | $22.39 | $28.18 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $36.31 | Professional | None | $17.78 | $22.91 | $36.31 |
Blue Shield Setting Professional Modifier None Typical Low $13.80 Median $19.95 Typical High $23.99 | Professional | None | $13.80 | $19.95 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $28.18 | Professional | None | $17.78 | $19.95 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $23.99 | Professional | None | $16.60 | $21.38 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $43.65 | Professional | None | $17.78 | $19.95 | $43.65 |
Lucent Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Providence Setting Facility Modifier None Typical Low $17.78 Median $25.70 Typical High $35.48 | Facility | None | $17.78 | $25.70 | $35.48 |
Providence Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $28.18 | Professional | None | $17.78 | $19.95 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $28.84 | Professional | None | $13.80 | $18.62 | $28.84 |
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 $8.51 Median $8.91 Typical High $10.00 | Professional | 52 · Reduced service | $8.51 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.55 Typical High $3.98 | Professional | 53 · Discontinued | $3.39 | $3.55 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.69 Typical High $2.95 | Professional | 55 · Aftercare only | $2.51 | $2.69 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.78 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.70 | $1.78 | $2.00 |
Where California sits
The same service costs 3.4 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· 27th of 51
$21.38
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.