How much rates vary
Facilitymedian $105 · 10th to 90th $81 to $331Professionalmedian $178 · 10th to 90th $59 to $269
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 $177.83 Median $218.78 Typical High $218.78 | Facility | None | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $177.83 Typical High $218.78 | Professional | None | $57.54 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $89.13 Typical High $109.65 | Professional | 52 · Reduced service | $28.84 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $11.48 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $26.92 Typical High $33.11 | Professional | 55 · Aftercare only | $8.71 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $17.78 Typical High $21.88 | Professional | 56 · Pre-op care only | $5.75 | $17.78 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $426.58 | Facility | None | $81.28 | $102.33 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $131.83 Typical High $208.93 | Professional | None | $51.29 | $131.83 | $208.93 |
Blue Shield Setting Professional Modifier None Typical Low $158.49 Median $371.54 Typical High $616.60 | Professional | None | $158.49 | $371.54 | $616.60 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None | $144.54 | $144.54 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $181.97 | Professional | None | $93.33 | $131.83 | $181.97 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,096.48 | Professional | None | $724.44 | $724.44 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $316.23 | Facility | None | $83.18 | $177.83 | $316.23 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $138.04 | Professional | None | $57.54 | $67.61 | $138.04 |
Where California sits
The same service costs 3.0 times more in California than in New York. 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· 1st of 51
$178
CA $178NY $58.88
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.