How much rates vary
Facilitymedian $1,698 · 10th to 90th $741 to $4,571Professionalmedian $1,000 · 10th to 90th $692 to $12,589
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $5,495.41 | Facility | None | $724.44 | $2,818.38 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,398.83 | Professional | None | $912.01 | $1,202.26 | $2,398.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RR · Rental | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $691.83 | $691.83 | $691.83 |
Blue Shield Setting Facility Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $4,073.80 | Facility | None | $1,000.00 | $2,398.83 | $4,073.80 |
Blue Shield Setting Professional Modifier None Typical Low $1,862.09 Median $3,467.37 Typical High $6,165.95 | Professional | None | $1,862.09 | $3,467.37 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,348.96 | $1,862.09 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,951.21 | Professional | None | $1,000.00 | $1,258.93 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $12,589.25 | Professional | None | $8,709.64 | $8,709.64 | $12,589.25 |
Molina Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,698.24 | Facility | None | $501.19 | $933.25 | $1,698.24 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Facility | None | $1,737.80 | $1,737.80 | $2,041.74 |
United Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $2,089.30 | Professional | None | $707.95 | $912.01 | $2,089.30 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Where California sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 21st of 51
$1,072
HI $1,778DE $692
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.