How much rates vary
Facilitymedian $209 · 10th to 90th $91 to $575Professionalmedian $135 · 10th to 90th $93 to $1,585
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None | $112.20 | $112.20 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $457.09 | Professional | None | $165.96 | $213.80 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $691.83 | Facility | None | $89.13 | $346.74 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $295.12 | Professional | None | $102.33 | $147.91 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | RR · Rental | $114.82 | $114.82 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $85.11 | $85.11 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $501.19 | Facility | None | $123.03 | $302.00 | $501.19 |
Blue Shield Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $776.25 | Professional | None | $229.09 | $426.58 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $251.19 | Professional | None | $165.96 | $229.09 | $251.19 |
HealthNet Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $407.38 | Professional | None | $131.83 | $186.21 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,071.52 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
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 $61.66 Median $141.25 Typical High $208.93 | Facility | None | $61.66 | $141.25 | $208.93 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $257.04 | Facility | None | $218.78 | $218.78 | $257.04 |
United Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $263.03 | Professional | None | $89.13 | $112.20 | $263.03 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Where California sits
The same service costs 2.0 times more in Wyoming than in New Jersey. 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
$138
WY $209NJ $102
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.