How much rates vary
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 $48.98 Median $53.70 Typical High $53.70 | Facility | None | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $54.95 | Professional | None | $46.77 | $48.98 | $54.95 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $63.10 | Professional | None | $39.81 | $57.54 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $67.61 | Professional | None | $56.23 | $63.10 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $95.50 | Professional | None | $48.98 | $54.95 | $95.50 |
Lucent Health Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $457.09 | Professional | None | $338.84 | $457.09 | $457.09 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $79.43 | Facility | None | $53.70 | $66.07 | $79.43 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $81.28 | Professional | None | $43.65 | $57.54 | $81.28 |
4 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 $23.44 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.41 Typical High $8.32 | Professional | 55 · Aftercare only | $6.92 | $7.41 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.90 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.68 | $4.90 | $5.50 |
Where California sits
The same service costs 3.1 times more in Alaska than in New York. 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· 24th of 51
$57.54
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.