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 $1,071.52 Median $1,071.52 Typical High $1,949.84 | Facility | None | $1,071.52 | $1,071.52 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,071.52 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,584.89 | Facility | None | $741.31 | $1,174.90 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $1,096.48 Typical High $2,089.30 | Professional | None | $147.91 | $1,096.48 | $2,089.30 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $1,096.48 Typical High $1,621.81 | Facility | None | $77.62 | $1,096.48 | $1,621.81 |
Blue Shield Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,258.93 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $3,311.31 | Facility | None | $1,096.48 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,698.24 | Professional | None | $812.83 | $1,230.27 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $1,513.56 Typical High $2,951.21 | Facility | None | $309.03 | $1,513.56 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $346.74 Median $1,096.48 Typical High $1,096.48 | Professional | None | $346.74 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,884.03 | Professional | None | $1,071.52 | $1,071.52 | $2,884.03 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Where California sits
The same service costs 8.3 times more in Arizona than in Montana. 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· 20th of 51
$1,096
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.