How much rates vary
Facilitymedian $123 · 10th to 90th $59 to $447Professionalmedian $93 · 10th to 90th $54 to $407
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 $60.26 Median $67.61 Typical High $123.03 | Facility | None | $60.26 | $67.61 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $123.03 | Professional | None | $60.26 | $83.18 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $288.40 | Facility | None | $56.23 | $70.79 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $120.23 | Professional | None | $56.23 | $77.62 | $120.23 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $316.23 Typical High $524.81 | Facility | None | $77.62 | $316.23 | $524.81 |
Blue Shield Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $100.00 | Professional | None | $43.65 | $64.57 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $131.83 | Professional | None | $56.23 | $97.72 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $162.18 | Professional | None | $43.65 | $61.66 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $117.49 Typical High $223.87 | Professional | None | $50.12 | $117.49 | $223.87 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $954.99 | Professional | None | $776.25 | $954.99 | $954.99 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None | $102.33 | $102.33 | $169.82 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $245.47 | Facility | None | $63.10 | $117.49 | $245.47 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $125.89 | Professional | None | $56.23 | $97.72 | $125.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $407.38 | Professional | None | $204.17 | $204.17 | $407.38 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
United Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $144.54 | Professional | None | $44.67 | $69.18 | $144.54 |
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 $30.20 Median $33.88 Typical High $61.66 | Facility | 52 · Reduced service | $30.20 | $33.88 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $13.49 Typical High $25.12 | Facility | 53 · Discontinued | $12.02 | $13.49 | $25.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.12 Median $10.00 Typical High $18.62 | Facility | 55 · Aftercare only | $9.12 | $10.00 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.76 Typical High $12.30 | Facility | 56 · Pre-op care only | $6.03 | $6.76 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $41.69 Typical High $61.66 | Professional | 52 · Reduced service | $30.20 | $41.69 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.60 Typical High $25.12 | Professional | 53 · Discontinued | $12.02 | $16.60 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.59 Typical High $18.62 | Professional | 55 · Aftercare only | $9.12 | $12.59 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $8.32 Typical High $12.30 | Professional | 56 · Pre-op care only | $6.03 | $8.32 | $12.30 |
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 2.8 times more in Alaska than in Maryland. 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· 23rd of 51
$93.33
AK $178MD $64.57
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.