How much rates vary
Facilitymedian $14,125 · 10th to 90th $5,754 to $38,019Professionalmedian $3,020 · 10th to 90th $646 to $16,982
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 $3,981.07 Median $26,302.68 Typical High $58,884.37 | Facility | None | $3,981.07 | $26,302.68 | $58,884.37 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $5,011.87 | Professional | None | $3,981.07 | $4,365.16 | $5,011.87 |
Ambetter Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,715.19 | $10,715.19 | $10,715.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $18,197.01 Typical High $42,657.95 | Facility | None | $11,220.18 | $18,197.01 | $42,657.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,584.89 Typical High $6,606.93 | Professional | None | $741.31 | $1,584.89 | $6,606.93 |
Blue Shield Setting Facility Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $9,549.93 | Facility | None | $3,090.30 | $5,011.87 | $9,549.93 |
Blue Shield Setting Professional Modifier None Typical Low $457.09 Median $1,819.70 Typical High $3,467.37 | Professional | None | $457.09 | $1,819.70 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $12,302.69 Median $44,668.36 Typical High $66,069.34 | Facility | None | $12,302.69 | $44,668.36 | $66,069.34 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $4,365.16 | Professional | None | $1,905.46 | $2,398.83 | $4,365.16 |
Lucent Health Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $23,442.29 | Professional | None | $16,982.44 | $16,982.44 | $23,442.29 |
Providence Setting Facility Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $57,543.99 | Facility | None | $4,365.16 | $5,754.40 | $57,543.99 |
Providence Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $10,000.00 Typical High $20,892.96 | Facility | None | $5,623.41 | $10,000.00 | $20,892.96 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $8,709.64 | Professional | None | $1,621.81 | $2,398.83 | $8,709.64 |
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 $1,348.96 Median $2,187.76 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,348.96 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $870.96 Typical High $870.96 | Professional | 53 · Discontinued | $537.03 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $3,235.94 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,995.26 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $645.65 Typical High $645.65 | Professional | 55 · Aftercare only | $398.11 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $436.52 Typical High $436.52 | Professional | 56 · Pre-op care only | $269.15 | $436.52 | $436.52 |
Where California sits
The same service costs 9.3 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· 4th of 51
$3,981
AK $6,457IN $692
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.