How much rates vary
Facilitymedian $214 · 10th to 90th $112 to $479Professionalmedian $195 · 10th to 90th $148 to $1,479
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | None | $162.18 | $194.98 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $478.63 | Facility | None | $128.82 | $229.09 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $208.93 | Professional | None | $134.90 | $177.83 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $204.17 Median $501.19 Typical High $831.76 | Facility | None | $204.17 | $501.19 | $831.76 |
Blue Shield Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $407.38 | Professional | None | $169.82 | $309.03 | $407.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $77.62 Median $208.93 Typical High $213.80 | Professional | None | $77.62 | $208.93 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $251.19 | Professional | None | $97.72 | $107.15 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $208.93 Typical High $512.86 | Professional | None | $69.18 | $208.93 | $512.86 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,445.44 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $213.80 Typical High $213.80 | Facility | None | $69.18 | $213.80 | $213.80 |
Providence Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Facility | None | $295.12 | $295.12 | $346.74 |
United Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $354.81 | Professional | None | $144.54 | $186.21 | $354.81 |
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 $81.28 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $33.11 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $16.22 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.80 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $13.80 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $144.54 Typical High $154.88 | Professional | UE · Used equipment | $102.33 | $144.54 | $154.88 |
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· 19th of 51
$195
HI $347UT $132
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.