How much rates vary
Facilitymedian $2,630 · 10th to 90th $95 to $5,012Professionalmedian $1,862 · 10th to 90th $1,820 to $3,802
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 $1,862.09 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,862.09 | $1,862.09 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,456.54 | Facility | None | $1,995.26 | $3,090.30 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,819.70 Typical High $3,801.89 | Professional | None | $724.44 | $1,819.70 | $3,801.89 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $1,862.09 Typical High $2,630.27 | Facility | None | $77.62 | $1,862.09 | $2,630.27 |
Blue Shield Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $5,011.87 | Professional | None | $1,862.09 | $2,238.72 | $5,011.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,659.59 | $2,041.74 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $4,677.35 | Facility | None | $1,949.84 | $3,388.44 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $5,011.87 | Professional | None | $1,659.59 | $2,187.76 | $5,011.87 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,011.87 | Facility | None | $1,819.70 | $2,818.38 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $4,570.88 | Facility | None | $1,862.09 | $1,862.09 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,897.79 | Professional | None | $1,819.70 | $1,819.70 | $4,897.79 |
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 $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Where California sits
The same service costs 3.2 times more in Alabama than in Hawaii. 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· 33rd of 51
$1,862
AL $5,623HI $1,738
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.