How much rates vary
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 $22.39 Median $22.39 Typical High $26.30 | Facility | None | $22.39 | $22.39 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $50.12 | Professional | None | $22.39 | $26.30 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $114.82 Typical High $223.87 | Facility | None | $31.62 | $114.82 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $91.20 Typical High $323.59 | Professional | None | $21.88 | $91.20 | $323.59 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $169.82 | Facility | None | $67.61 | $102.33 | $169.82 |
Blue Shield Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $91.20 | Professional | None | $31.62 | $45.71 | $91.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $69.18 | Professional | None | $45.71 | $45.71 | $69.18 |
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 $45.71 Median $77.62 Typical High $77.62 | Professional | None | $45.71 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $199.53 | Professional | None | $64.57 | $91.20 | $199.53 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $109.65 | Facility | None | $26.30 | $40.74 | $109.65 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | None | $58.88 | $70.79 | $70.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $43.65 Median $74.13 Typical High $223.87 | Professional | None | $43.65 | $74.13 | $223.87 |
3 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 55 · Aftercare only Typical Low $3.39 Median $3.89 Typical High $7.59 | Professional | 55 · Aftercare only | $3.39 | $3.89 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.63 Typical High $5.01 | Professional | 56 · Pre-op care only | $2.24 | $2.63 | $5.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $40.74 Median $63.10 Typical High $85.11 | Professional | RR · Rental | $40.74 | $63.10 | $85.11 |
Where California sits
The same service costs 5.2 times more in Montana than in Kansas. 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· 7th of 51
$70.79
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.