How much rates vary
Facilitymedian $347 · 10th to 90th $288 to $1,259Professionalmedian $339 · 10th to 90th $219 to $3,715
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $1,071.52 Typical High $2,137.96 | Facility | None | $229.09 | $1,071.52 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $933.25 | Professional | None | $269.15 | $380.19 | $933.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | RR · Rental | $288.40 | $288.40 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $380.19 Median $933.25 Typical High $1,548.82 | Facility | None | $380.19 | $933.25 | $1,548.82 |
Blue Shield Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $2,398.83 | Professional | None | $707.95 | $1,318.26 | $2,398.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $512.86 | Professional | None | $239.88 | $269.15 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $645.65 Typical High $707.95 | Professional | None | $239.88 | $645.65 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $1,122.02 | Professional | None | $389.05 | $512.86 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
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 $158.49 Median $295.12 Typical High $645.65 | Facility | None | $158.49 | $295.12 | $645.65 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $346.74 | Facility | None | $316.23 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $812.83 | Professional | None | $223.87 | $288.40 | $812.83 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $28.84 |
Where California sits
The same service costs 4.2 times more in Hawaii 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
$339
HI $912DE $219
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.