How much rates vary
Facilitymedian $417 · 10th to 90th $372 to $1,660Professionalmedian $447 · 10th to 90th $309 to $6,310
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $758.58 | Professional | None | $478.63 | $575.44 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $1,412.54 Typical High $2,818.38 | Facility | None | $302.00 | $1,412.54 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $1,202.26 | Professional | None | $380.19 | $489.78 | $1,202.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | RR · Rental | $380.19 | $380.19 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $281.84 | $281.84 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,041.74 | Facility | None | $501.19 | $1,230.27 | $2,041.74 |
Blue Shield Setting Professional Modifier None Typical Low $933.25 Median $1,737.80 Typical High $3,162.28 | Professional | None | $933.25 | $1,737.80 | $3,162.28 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $676.08 | Professional | None | $331.13 | $363.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $331.13 Median $851.14 Typical High $933.25 | Professional | None | $331.13 | $851.14 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,479.11 | Professional | None | $512.86 | $724.44 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $6,309.57 | Professional | None | $4,073.80 | $4,073.80 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $208.93 Median $524.81 Typical High $851.14 | Facility | None | $208.93 | $524.81 | $851.14 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Providence Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $416.87 | Facility | None | $389.05 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $1,071.52 | Professional | None | $295.12 | $371.54 | $1,071.52 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Where California sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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· 26th of 51
$447
HI $977MD $355
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.