How much rates vary
Facilitymedian $5,623 · 10th to 90th $95 to $10,965Professionalmedian $3,890 · 10th to 90th $1,585 to $7,762
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 $3,890.45 Median $3,981.07 Typical High $6,918.31 | Facility | None | $3,890.45 | $3,981.07 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $4,168.69 Typical High $5,495.41 | Professional | None | $3,890.45 | $4,168.69 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $6,456.54 Typical High $13,489.63 | Facility | None | $4,265.80 | $6,456.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $3,801.89 Typical High $8,128.31 | Professional | None | $309.03 | $3,801.89 | $8,128.31 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $4,073.80 Typical High $5,623.41 | Facility | None | $77.62 | $4,073.80 | $5,623.41 |
Blue Shield Setting Professional Modifier None Typical Low $3,981.07 Median $4,897.79 Typical High $10,000.00 | Professional | None | $3,981.07 | $4,897.79 | $10,000.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3,548.13 Median $4,365.16 Typical High $5,888.44 | Professional | None | $3,548.13 | $4,365.16 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $7,244.36 Typical High $9,772.37 | Facility | None | $4,073.80 | $7,244.36 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,548.13 Median $4,570.88 Typical High $10,471.29 | Professional | None | $3,548.13 | $4,570.88 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $10,471.29 | Facility | None | $3,890.45 | $6,760.83 | $10,471.29 |
Providence Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,073.80 | Professional | None | $3,890.45 | $3,890.45 | $4,073.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $8,709.64 | Facility | None | $3,890.45 | $3,890.45 | $8,709.64 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $10,471.29 | Professional | None | $3,801.89 | $3,801.89 | $10,471.29 |
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 $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
Where California sits
The same service costs 11.0 times more in Alabama than in Oklahoma. 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· 18th of 51
$4,074
AL $23,442OK $2,138
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.