How much rates vary
Facilitymedian $550 · 10th to 90th $95 to $1,096Professionalmedian $389 · 10th to 90th $389 to $708
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 $389.05 Median $389.05 Typical High $707.95 | Facility | None | $389.05 | $389.05 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $588.84 | Professional | None | $389.05 | $416.87 | $588.84 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,348.96 | Facility | None | $426.58 | $660.69 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | None | $389.05 | $389.05 | $645.65 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $398.11 Typical High $588.84 | Facility | None | $77.62 | $398.11 | $588.84 |
Blue Shield Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $616.60 | Professional | None | $389.05 | $389.05 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $977.24 | Facility | None | $389.05 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | None | $389.05 | $389.05 | $416.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $426.58 | Professional | None | $316.23 | $389.05 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $1,047.13 | Professional | None | $346.74 | $426.58 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $1,047.13 | Facility | None | $389.05 | $676.08 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | None | $389.05 | $389.05 | $426.58 |
Sutter Health Plus Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $1,348.96 | Facility | None | $389.05 | $389.05 | $1,348.96 |
United Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $812.83 | Professional | None | $154.88 | $389.05 | $812.83 |
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 $194.98 Median $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $81.28 | Professional | 53 · Discontinued | $77.62 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $40.74 |
Where California sits
The same service costs 1.7 times more in Alaska 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· 33rd of 51
$389
AK $589OK $355
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.