How much rates vary
Facilitymedian $257 · 10th to 90th $209 to $933Professionalmedian $214 · 10th to 90th $158 to $2,884
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | None | $208.93 | $208.93 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $776.25 Typical High $1,548.82 | Facility | None | $165.96 | $776.25 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $660.69 | Professional | None | $208.93 | $229.09 | $660.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | RR · Rental | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
Blue Shield Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $1,122.02 | Facility | None | $275.42 | $676.08 | $1,122.02 |
Blue Shield Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $1,737.80 | Professional | None | $512.86 | $954.99 | $1,737.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $380.19 | Professional | None | $239.88 | $263.03 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $239.88 Median $467.74 Typical High $512.86 | Professional | None | $239.88 | $467.74 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $831.76 | Professional | None | $281.84 | $426.58 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
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 $114.82 Median $213.80 Typical High $467.74 | Facility | None | $114.82 | $213.80 | $467.74 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $257.04 | Facility | None | $229.09 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $588.84 | Professional | None | $162.18 | $208.93 | $588.84 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Where California sits
The same service costs 4.4 times more in Hawaii 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· 22nd of 51
$229
HI $692FL $158
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.