How much rates vary
Facilitymedian $1,023 · 10th to 90th $79 to $2,818Professionalmedian $1,072 · 10th to 90th $1,000 to $2,570
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 $977.24 Median $977.24 Typical High $1,778.28 | Facility | None | $977.24 | $977.24 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $3,630.78 | Facility | None | $1,000.00 | $1,380.38 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $3,235.94 | Professional | None | $1,000.00 | $1,000.00 | $3,235.94 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $1,000.00 Typical High $1,698.24 | Facility | None | $72.44 | $1,000.00 | $1,698.24 |
Blue Shield Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,818.38 | Professional | None | $1,071.52 | $1,258.93 | $2,818.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,348.96 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $3,162.28 | Facility | None | $1,047.13 | $2,089.30 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,584.89 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,412.54 | $2,818.38 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,162.28 | Professional | None | $1,174.90 | $1,174.90 | $3,162.28 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Where California sits
The same service costs 5.8 times more in Alabama than in Arkansas. 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· 32nd of 51
$1,072
AL $5,623AR $977
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.