How much rates vary
Facilitymedian $692 · 10th to 90th $617 to $2,754Professionalmedian $741 · 10th to 90th $513 to $8,913
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $2,344.23 Typical High $4,677.35 | Facility | None | $501.19 | $2,344.23 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,995.26 | Professional | None | $602.56 | $812.83 | $1,995.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | RR · Rental | $630.96 | $630.96 | $660.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | UE · Used equipment | $467.74 | $467.74 | $489.78 |
Blue Shield Setting Facility Modifier None Typical Low $831.76 Median $2,041.74 Typical High $3,388.44 | Facility | None | $831.76 | $2,041.74 | $3,388.44 |
Blue Shield Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $5,248.07 | Professional | None | $1,548.82 | $2,884.03 | $5,248.07 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $1,122.02 | Professional | None | $660.69 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $1,548.82 | Professional | None | $660.69 | $1,412.54 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $2,454.71 | Professional | None | $851.14 | $1,096.48 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $8,912.51 | Professional | None | $6,760.83 | $6,760.83 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $346.74 Median $741.31 Typical High $1,412.54 | Facility | None | $346.74 | $741.31 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Sutter Health Plus 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 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $691.83 | Facility | None | $645.65 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,778.28 | Professional | None | $489.78 | $616.60 | $1,778.28 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Where California sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 22nd of 51
$741
HI $1,622VT $537
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.