How much rates vary
Facilitymedian $759 · 10th to 90th $398 to $1,549Professionalmedian $759 · 10th to 90th $525 to $5,248
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None | $691.83 | $691.83 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $691.83 | Professional | None | $616.60 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $1,698.24 | Facility | None | $457.09 | $812.83 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $758.58 | Professional | None | $457.09 | $602.56 | $758.58 |
Blue Shield Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $2,951.21 | Facility | None | $724.44 | $1,819.70 | $2,951.21 |
Blue Shield Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $1,479.11 | Professional | None | $616.60 | $1,122.02 | $1,479.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $281.84 Median $758.58 Typical High $776.25 | Professional | None | $281.84 | $758.58 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $912.01 | Professional | None | $354.81 | $389.05 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $707.95 Typical High $1,659.59 | Professional | None | $245.47 | $707.95 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,248.07 | Professional | None | $5,128.61 | $5,128.61 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $251.19 Median $758.58 Typical High $758.58 | Facility | None | $251.19 | $758.58 | $758.58 |
Providence Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,230.27 | Facility | None | $1,047.13 | $1,047.13 | $1,230.27 |
United Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $1,258.93 | Professional | None | $524.81 | $660.69 | $1,258.93 |
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 $295.12 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $58.88 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $707.95 Typical High $707.95 | Professional | RR · Rental | $48.98 | $707.95 | $707.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $537.03 Typical High $575.44 | Professional | UE · Used equipment | $371.54 | $537.03 | $575.44 |
Where California sits
The same service costs 2.6 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· 11th of 51
$759
HI $1,230UT $479
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.