How much rates vary
Facilitymedian $550 · 10th to 90th $120 to $6,457Professionalmedian $145 · 10th to 90th $105 to $525
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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $251.19 | Professional | None | $128.82 | $151.36 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | None | $128.82 | $128.82 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $549.54 | Facility | None | $107.15 | $134.90 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $501.19 | Professional | None | $107.15 | $120.23 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $165.96 Median $977.24 Typical High $1,778.28 | Facility | None | $165.96 | $977.24 | $1,778.28 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $169.82 | Professional | None | $85.11 | $123.03 | $169.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | None | $147.91 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $758.58 | Facility | None | $162.18 | $218.78 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $257.04 | Professional | None | $107.15 | $147.91 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $218.78 | Professional | None | $181.97 | $199.53 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $489.78 | Professional | None | $138.04 | $173.78 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $316.23 | Facility | None | $138.04 | $213.80 | $316.23 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $251.19 | Professional | None | $107.15 | $147.91 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $257.04 | Professional | None | $102.33 | $131.83 | $257.04 |
6 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 $61.66 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $104.71 Typical High $125.89 | Professional | 54 · Surgery only | $93.33 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.80 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.30 | $13.80 | $16.60 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 51 · Multiple procedures | $128.82 | $128.82 | $128.82 |
Where California sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 31st of 51
$148
AK $347KY $107
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.