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 $83.18 Median $83.18 Typical High $97.72 | Facility | None | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $186.21 | Professional | None | $83.18 | $97.72 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $426.58 Typical High $831.76 | Facility | None | $117.49 | $426.58 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $338.84 Typical High $1,202.26 | Professional | None | $81.28 | $338.84 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $154.88 Median $380.19 Typical High $630.96 | Facility | None | $154.88 | $380.19 | $630.96 |
Blue Shield Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $338.84 | Professional | None | $117.49 | $169.82 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $288.40 | Professional | None | $263.03 | $288.40 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $741.31 | Professional | None | $234.42 | $323.59 | $741.31 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $269.15 | Facility | None | $97.72 | $138.04 | $269.15 |
Providence Setting Professional Modifier None Typical Low $120.23 Median $263.03 Typical High $263.03 | Professional | None | $120.23 | $263.03 | $263.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $275.42 Typical High $831.76 | Professional | None | $162.18 | $275.42 | $831.76 |
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 $12.59 Median $14.45 Typical High $28.18 | Professional | 55 · Aftercare only | $12.59 | $14.45 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.77 Typical High $18.62 | Professional | 56 · Pre-op care only | $8.32 | $9.77 | $18.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $151.36 Median $234.42 Typical High $309.03 | Professional | RR · Rental | $151.36 | $234.42 | $309.03 |
Where California sits
The same service costs 3.3 times more in Iowa 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· 6th of 51
$263
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.