How much rates vary
Facilitymedian $15,849 · 10th to 90th $7,244 to $40,738Professionalmedian $4,169 · 10th to 90th $912 to $19,055
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 $6,309.57 Median $38,904.51 Typical High $60,255.96 | Facility | None | $6,309.57 | $38,904.51 | $60,255.96 |
Aetna Setting Professional Modifier None Typical Low $6,309.57 Median $6,918.31 Typical High $9,120.11 | Professional | None | $6,309.57 | $6,918.31 | $9,120.11 |
Ambetter Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None | $15,135.61 | $15,135.61 | $15,135.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $18,620.87 Typical High $42,657.95 | Facility | None | $11,220.18 | $18,620.87 | $42,657.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $7,943.28 | Professional | None | $933.25 | $1,584.89 | $7,943.28 |
Blue Shield Setting Facility Modifier None Typical Low $4,073.80 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,073.80 | $6,760.83 | $12,882.50 |
Blue Shield Setting Professional Modifier None Typical Low $645.65 Median $2,570.40 Typical High $4,897.79 | Professional | None | $645.65 | $2,570.40 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $29,512.09 Median $44,668.36 Typical High $66,069.34 | Facility | None | $29,512.09 | $44,668.36 | $66,069.34 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $5,888.44 | Professional | None | $2,570.40 | $3,235.94 | $5,888.44 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $28,183.83 | Professional | None | $19,054.61 | $19,054.61 | $28,183.83 |
Providence Setting Facility Modifier None Typical Low $6,309.57 Median $8,912.51 Typical High $57,543.99 | Facility | None | $6,309.57 | $8,912.51 | $57,543.99 |
Providence Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $6,760.83 Median $12,022.64 Typical High $25,703.96 | Facility | None | $6,760.83 | $12,022.64 | $25,703.96 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $11,748.98 | Professional | None | $1,778.28 | $3,235.94 | $11,748.98 |
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 $1,621.81 Median $3,162.28 Typical High $3,981.07 | Professional | 52 · Reduced service | $1,621.81 | $3,162.28 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $1,258.93 Typical High $1,584.89 | Professional | 53 · Discontinued | $645.65 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $4,677.35 Typical High $5,888.44 | Professional | 54 · Surgery only | $2,454.71 | $4,677.35 | $5,888.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $933.25 Typical High $1,202.26 | Professional | 55 · Aftercare only | $489.78 | $933.25 | $1,202.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $630.96 Typical High $794.33 | Professional | 56 · Pre-op care only | $323.59 | $630.96 | $794.33 |
Where California sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 3rd of 51
$6,310
AK $8,511MO $603
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.