How much rates vary
Facilitymedian $708 · 10th to 90th $437 to $2,188Professionalmedian $437 · 10th to 90th $309 to $5,129
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $1,148.15 Typical High $2,454.71 | Facility | None | $467.74 | $1,148.15 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $977.24 | Professional | None | $389.05 | $489.78 | $977.24 |
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 $758.58 Median $1,412.54 Typical High $2,570.40 | Professional | None | $758.58 | $1,412.54 | $2,570.40 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $549.54 | Professional | None | $426.58 | $467.74 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $758.58 | Professional | None | $426.58 | $691.83 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $1,202.26 | Professional | None | $416.87 | $588.84 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $5,128.61 | Professional | None | $3,548.13 | $3,548.13 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $691.83 | Facility | None | $436.52 | $436.52 | $691.83 |
Providence Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
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 $707.95 Median $707.95 Typical High $851.14 | Facility | None | $707.95 | $707.95 | $851.14 |
United Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $870.96 | Professional | None | $295.12 | $389.05 | $870.96 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $389.05 Typical High $389.05 | Professional | RR · Rental | $38.90 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | UE · Used equipment | $295.12 | $295.12 | $371.54 |
Where California sits
The same service costs 2.3 times more in Montana than in Delaware. 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
$479
MT $741DE $316
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.