How much rates vary
Facilitymedian $71 · 10th to 90th $22 to $10,715Professionalmedian $38 · 10th to 90th $21 to $257
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 $53.70 Median $7,079.46 Typical High $18,197.01 | Facility | None | $53.70 | $7,079.46 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $40.74 Typical High $66.07 | Professional | None | $19.95 | $40.74 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $109.65 | Facility | None | $21.38 | $26.92 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $58.88 | Professional | None | $21.38 | $37.15 | $58.88 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $602.56 | Facility | None | $95.50 | $147.91 | $602.56 |
Blue Shield Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $47.86 | Professional | None | $22.39 | $32.36 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $120.23 | Professional | None | $20.89 | $33.88 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $69.18 Typical High $123.03 | Professional | None | $19.05 | $69.18 | $123.03 |
Lucent Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $691.83 | Professional | None | $537.03 | $537.03 | $691.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $53.70 Typical High $112.20 | Facility | None | $22.91 | $53.70 | $112.20 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $269.15 | Professional | None | $74.13 | $74.13 | $269.15 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $501.19 | Facility | None | $331.13 | $331.13 | $501.19 |
United Setting Professional Modifier None Typical Low $17.78 Median $41.69 Typical High $109.65 | Professional | None | $17.78 | $41.69 | $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 $10.47 Median $12.02 Typical High $33.11 | Facility | 52 · Reduced service | $10.47 | $12.02 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $13.18 | Facility | 53 · Discontinued | $4.17 | $4.79 | $13.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.16 Median $3.63 Typical High $9.77 | Facility | 55 · Aftercare only | $3.16 | $3.63 | $9.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.40 Typical High $6.61 | Facility | 56 · Pre-op care only | $2.09 | $2.40 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $20.42 Typical High $33.11 | Professional | 52 · Reduced service | $10.00 | $20.42 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $8.32 Typical High $13.18 | Professional | 53 · Discontinued | $4.07 | $8.32 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $6.17 Typical High $9.77 | Professional | 55 · Aftercare only | $3.02 | $6.17 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $4.07 Typical High $6.61 | Professional | 56 · Pre-op care only | $2.04 | $4.07 | $6.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $38.90 Median $50.12 Typical High $50.12 | Professional | 59 · Distinct service | $38.90 | $50.12 | $50.12 |
Where California sits
The same service costs 6.5 times more in Alaska than in Indiana. 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· 47th of 51
$38.90
AK $138IN $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.