How much rates vary
Facilitymedian $3,020 · 10th to 90th $95 to $5,888Professionalmedian $2,188 · 10th to 90th $2,138 to $4,467
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 $2,137.96 Median $2,187.76 Typical High $3,890.45 | Facility | None | $2,137.96 | $2,187.76 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $3,162.28 | Professional | None | $2,137.96 | $2,344.23 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $7,413.10 | Facility | None | $2,344.23 | $3,548.13 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $2,137.96 Typical High $4,570.88 | Professional | None | $537.03 | $2,137.96 | $4,570.88 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $2,089.30 Typical High $3,019.95 | Facility | None | $77.62 | $2,089.30 | $3,019.95 |
Blue Shield Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $5,888.44 | Professional | None | $2,187.76 | $2,630.27 | $5,888.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,949.84 | $2,398.83 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $5,370.32 | Facility | None | $2,238.72 | $3,981.07 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $5,754.40 | Professional | None | $1,949.84 | $2,570.40 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Providence Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,137.96 | $3,311.31 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None | $2,137.96 | $2,137.96 | $2,630.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $5,754.40 | Facility | None | $2,137.96 | $2,137.96 | $5,754.40 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $5,495.41 | Professional | None | $2,137.96 | $2,137.96 | $5,495.41 |
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 $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,071.52 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $213.80 | $218.78 | $218.78 |
Where California sits
The same service costs 2.0 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· 9th of 51
$2,344
AZ $3,311AL $1,660
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.