How much rates vary
Facilitymedian $120 · 10th to 90th $55 to $457Professionalmedian $69 · 10th to 90th $51 to $151
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 $56.23 Median $61.66 Typical High $104.71 | Facility | None | $56.23 | $61.66 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $120.23 | Professional | None | $56.23 | $85.11 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $269.15 | Facility | None | $52.48 | $66.07 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $107.15 | Professional | None | $52.48 | $60.26 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $363.08 Typical High $549.54 | Facility | None | $95.50 | $363.08 | $549.54 |
Blue Shield Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $89.13 | Professional | None | $38.90 | $57.54 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $114.82 | Professional | None | $51.29 | $81.28 | $114.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $45.71 | Professional | None | $28.84 | $36.31 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $114.82 Typical High $257.04 | Professional | None | $54.95 | $114.82 | $257.04 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $851.14 | Professional | None | $741.31 | $851.14 | $851.14 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None | $138.04 | $138.04 | $229.09 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $112.20 Typical High $204.17 | Facility | None | $60.26 | $112.20 | $204.17 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $107.15 | Professional | None | $51.29 | $81.28 | $107.15 |
United Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $109.65 | Professional | None | $41.69 | $60.26 | $109.65 |
9 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 Facility Modifier 52 · Reduced service Typical Low $28.18 Median $30.90 Typical High $52.48 | Facility | 52 · Reduced service | $28.18 | $30.90 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $20.89 | Facility | 53 · Discontinued | $11.22 | $12.59 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $9.33 Typical High $15.85 | Facility | 55 · Aftercare only | $8.32 | $9.33 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.31 Typical High $10.47 | Facility | 56 · Pre-op care only | $5.62 | $6.31 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $37.15 Typical High $52.48 | Professional | 52 · Reduced service | $28.18 | $37.15 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.79 Typical High $20.89 | Professional | 53 · Discontinued | $11.22 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $11.22 Typical High $15.85 | Professional | 55 · Aftercare only | $8.32 | $11.22 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.41 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.62 | $7.41 | $10.47 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where California sits
The same service costs 3.0 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· 44th of 51
$69.18
AK $166FL $54.95
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.