How much rates vary
Facilitymedian $55 · 10th to 90th $31 to $158Professionalmedian $27 · 10th to 90th $19 to $407
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 $16.98 Median $18.62 Typical High $19.05 | Facility | None | $16.98 | $18.62 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $23.99 | Professional | None | $17.78 | $18.62 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $91.20 Typical High $181.97 | Facility | None | $32.36 | $91.20 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $79.43 | Professional | None | $30.90 | $38.90 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $131.83 | Facility | None | $56.23 | $85.11 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $204.17 | Professional | None | $69.18 | $114.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $35.48 | Professional | None | $25.70 | $25.70 | $35.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $66.07 | Professional | None | $43.65 | $60.26 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $107.15 | Professional | None | $34.67 | $50.12 | $107.15 |
Lucent Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $416.87 | Professional | None | $275.42 | $275.42 | $416.87 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $54.95 | Facility | None | $26.30 | $35.48 | $54.95 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $35.48 | Professional | None | $25.70 | $25.70 | $35.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $69.18 | Professional | None | $23.44 | $31.62 | $69.18 |
6 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 $8.51 Median $9.33 Typical High $12.59 | Professional | 52 · Reduced service | $8.51 | $9.33 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.72 Typical High $5.01 | Professional | 53 · Discontinued | $3.39 | $3.72 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.75 Typical High $3.80 | Professional | 55 · Aftercare only | $2.51 | $2.75 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.86 Typical High $2.51 | Professional | 56 · Pre-op care only | $1.70 | $1.86 | $2.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.89 Typical High $30.90 | Professional | RR · Rental | $3.09 | $3.89 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | UE · Used equipment | $22.91 | $22.91 | $28.84 |
Where California sits
The same service costs 2.2 times more in Hawaii than in Utah. 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· 36th of 51
$32.36
HI $57.54UT $25.70
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.