How much rates vary
Facilitymedian $562 · 10th to 90th $95 to $1,072Professionalmedian $398 · 10th to 90th $389 to $832
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 $398.11 Median $407.38 Typical High $707.95 | Facility | None | $398.11 | $407.38 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | None | $398.11 | $407.38 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,380.38 | Facility | None | $436.52 | $660.69 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $389.05 Typical High $831.76 | Professional | None | $53.70 | $389.05 | $831.76 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $398.11 Typical High $562.34 | Facility | None | $77.62 | $398.11 | $562.34 |
Blue Shield Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $1,071.52 | Professional | None | $398.11 | $489.78 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $602.56 | Professional | None | $363.08 | $446.68 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $1,000.00 | Facility | None | $416.87 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $1,071.52 | Professional | None | $363.08 | $467.74 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $1,071.52 | Facility | None | $389.05 | $616.60 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None | $398.11 | $398.11 | $436.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,047.13 | Facility | None | $398.11 | $398.11 | $1,047.13 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,047.13 | Professional | None | $389.05 | $389.05 | $1,047.13 |
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 $199.53 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $39.81 | $40.74 | $40.74 |
Where California sits
The same service costs 2.8 times more in Arizona than in Alabama. 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· 16th of 51
$407
AZ $646AL $234
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.