How much rates vary
Facilitymedian $85 · 10th to 90th $78 to $347Professionalmedian $89 · 10th to 90th $59 to $1,023
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $288.40 Typical High $575.44 | Facility | None | $61.66 | $288.40 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $251.19 | Professional | None | $77.62 | $102.33 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Blue Shield Setting Facility Modifier None Typical Low $102.33 Median $251.19 Typical High $416.87 | Facility | None | $102.33 | $251.19 | $416.87 |
Blue Shield Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $645.65 | Professional | None | $190.55 | $363.08 | $645.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $141.25 | Professional | None | $74.13 | $83.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $74.13 Median $173.78 Typical High $190.55 | Professional | None | $74.13 | $173.78 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $407.38 | Professional | None | $104.71 | $158.49 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | None | $912.01 | $912.01 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
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 $42.66 Median $81.28 Typical High $173.78 | Facility | None | $42.66 | $81.28 | $173.78 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Facility | None | $79.43 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $218.78 | Professional | None | $61.66 | $77.62 | $218.78 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $7.76 |
Where California sits
The same service costs 5.1 times more in Kansas than in Florida. 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
$85.11
KS $309FL $60.26
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.