How much rates vary
Facilitymedian $33 · 10th to 90th $24 to $74Professionalmedian $29 · 10th to 90th $22 to $93
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 $28.84 Median $33.11 Typical High $38.90 | Facility | None | $28.84 | $33.11 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $38.90 | Professional | None | $26.30 | $33.11 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $30.20 | Professional | None | $19.95 | $26.30 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $120.23 | Facility | None | $23.44 | $29.51 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $33.11 | Professional | None | $23.44 | $25.12 | $33.11 |
Blue Shield Setting Facility Modifier None Typical Low $43.65 Median $67.61 Typical High $102.33 | Facility | None | $43.65 | $67.61 | $102.33 |
Blue Shield Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $28.18 | Professional | None | $14.13 | $19.95 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $43.65 | Professional | None | $26.30 | $39.81 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $51.29 | Professional | None | $22.91 | $33.11 | $51.29 |
Lucent Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $37.15 | Professional | None | $21.88 | $21.88 | $37.15 |
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 $27.54 Median $35.48 Typical High $48.98 | Facility | None | $27.54 | $35.48 | $48.98 |
Providence Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Sutter Health Plus Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None | $93.33 | $93.33 | $107.15 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $47.86 | Professional | None | $20.89 | $25.70 | $47.86 |
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 $14.45 Median $16.22 Typical High $19.50 | Facility | 52 · Reduced service | $14.45 | $16.22 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $7.76 | Facility | 53 · Discontinued | $5.75 | $6.61 | $7.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.37 Median $4.90 Typical High $5.89 | Facility | 55 · Aftercare only | $4.37 | $4.90 | $5.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.31 Typical High $3.89 | Facility | 56 · Pre-op care only | $2.88 | $3.31 | $3.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.22 Typical High $19.50 | Professional | 52 · Reduced service | $12.88 | $16.22 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.61 Typical High $7.76 | Professional | 53 · Discontinued | $5.13 | $6.61 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.90 Typical High $5.89 | Professional | 55 · Aftercare only | $3.89 | $4.90 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $3.31 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.57 | $3.31 | $3.89 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | 59 · Distinct service | $33.11 | $33.11 | $37.15 |
Where California sits
The same service costs 3.8 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· 48th of 51
$28.84
AK $74.13IN $19.50
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.