How much rates vary
Facilitymedian $2,399 · 10th to 90th $141 to $13,183Professionalmedian $724 · 10th to 90th $490 to $2,951
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 $2,238.72 Median $10,000.00 Typical High $21,379.62 | Facility | None | $2,238.72 | $10,000.00 | $21,379.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $512.86 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $380.19 Typical High $416.87 | Professional | 26 · Professional part | $371.54 | $380.19 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $173.78 | Professional | TC · Technical part | $131.83 | $147.91 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $13,489.63 | Facility | None | $2,137.96 | $5,011.87 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $575.44 Typical High $1,995.26 | Professional | None (both parts) | $489.78 | $575.44 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $407.38 Typical High $1,412.54 | Professional | 26 · Professional part | $363.08 | $407.38 | $1,412.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $645.65 | Professional | TC · Technical part | $128.82 | $151.36 | $645.65 |
Blue Shield Setting Facility Modifier None Typical Low $363.08 Median $2,041.74 Typical High $3,235.94 | Facility | None | $363.08 | $2,041.74 | $3,235.94 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $549.54 Median $794.33 Typical High $1,412.54 | Professional | None (both parts) | $549.54 | $794.33 | $1,412.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $478.63 Typical High $933.25 | Professional | 26 · Professional part | $338.84 | $478.63 | $933.25 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $309.03 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $912.01 Typical High $1,548.82 | Professional | None (both parts) | $707.95 | $912.01 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $14,791.08 Median $19,498.45 Typical High $22,387.21 | Facility | None | $14,791.08 | $19,498.45 | $22,387.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $537.03 | $616.60 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $446.68 Typical High $1,096.48 | Professional | 26 · Professional part | $389.05 | $446.68 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $407.38 | Professional | TC · Technical part | $141.25 | $165.96 | $407.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $851.14 | Professional | None | $562.34 | $707.95 | $851.14 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $380.19 | $478.63 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,621.81 | Professional | None | $660.69 | $758.58 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $588.84 Typical High $1,202.26 | Professional | 26 · Professional part | $389.05 | $588.84 | $1,202.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None (both parts) | $12,022.64 | $12,022.64 | $12,022.64 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $3,235.94 Median $3,235.94 Typical High $3,467.37 | Professional | 26 · Professional part | $3,235.94 | $3,235.94 | $3,467.37 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | TC · Technical part | $11,481.54 | $11,481.54 | $11,481.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $831.76 Typical High $19,498.45 | Facility | None | $549.54 | $831.76 | $19,498.45 |
Providence Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $537.03 | $616.60 | $1,479.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $436.52 Typical High $1,096.48 | Professional | 26 · Professional part | $389.05 | $436.52 | $1,096.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $407.38 | Professional | TC · Technical part | $141.25 | $165.96 | $407.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 26 · Professional part | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $8,912.51 | Facility | None | $123.03 | $549.54 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $831.76 Typical High $2,137.96 | Professional | None (both parts) | $562.34 | $831.76 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $457.09 Typical High $1,096.48 | Professional | 26 · Professional part | $331.13 | $457.09 | $1,096.48 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $891.25 | Professional | TC · Technical part | $234.42 | $346.74 | $891.25 |
5 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 $245.47 Median $263.03 Typical High $288.40 | Professional | 52 · Reduced service | $245.47 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $104.71 Typical High $117.49 | Professional | 53 · Discontinued | $97.72 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $436.52 | Professional | 54 · Surgery only | $371.54 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $87.10 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $57.54 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $57.54 |
Where California sits
The same service costs 5.6 times more in Nebraska 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· 24th of 51
$794
NE $2,818MD $501
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.