How much rates vary
Facilitymedian $380 · 10th to 90th $195 to $851Professionalmedian $324 · 10th to 90th $240 to $2,630
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $323.59 | Professional | None | $288.40 | $323.59 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $380.19 Typical High $812.83 | Facility | None | $223.87 | $380.19 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $354.81 | Professional | None | $234.42 | $275.42 | $354.81 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $1,023.29 Typical High $1,659.59 | Facility | None | $407.38 | $1,023.29 | $1,659.59 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $758.58 | Professional | None | $295.12 | $575.44 | $758.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $134.90 Median $426.58 Typical High $436.52 | Professional | None | $134.90 | $426.58 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | None | $281.84 | $281.84 | $380.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $512.86 | Professional | None | $169.82 | $186.21 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $426.58 Typical High $891.25 | Professional | None | $117.49 | $426.58 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $380.19 Typical High $380.19 | Facility | None | $120.23 | $380.19 | $380.19 |
Providence Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | None | $281.84 | $281.84 | $380.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Facility | None | $794.33 | $794.33 | $933.25 |
United Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $676.08 | Professional | None | $239.88 | $323.59 | $676.08 |
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 $144.54 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.84 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $23.99 Median $331.13 Typical High $331.13 | Professional | RR · Rental | $23.99 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $245.47 Typical High $263.03 | Professional | UE · Used equipment | $177.83 | $245.47 | $263.03 |
Where California sits
The same service costs 3.0 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· 24th of 51
$324
HI $661UT $224
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.