How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,950 to $8,511Professionalmedian $1,995 · 10th to 90th $1,479 to $26,303
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $7,244.36 Typical High $14,454.40 | Facility | None | $1,548.82 | $7,244.36 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $6,165.95 | Professional | None | $1,949.84 | $2,570.40 | $6,165.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | RR · Rental | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $2,570.40 Median $6,309.57 Typical High $10,471.29 | Facility | None | $2,570.40 | $6,309.57 | $10,471.29 |
Blue Shield Setting Professional Modifier None Typical Low $4,786.30 Median $8,912.51 Typical High $16,218.10 | Professional | None | $4,786.30 | $8,912.51 | $16,218.10 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,238.72 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,041.74 Median $4,365.16 Typical High $4,786.30 | Professional | None | $2,041.74 | $4,365.16 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $7,762.47 | Professional | None | $2,630.27 | $3,801.89 | $7,762.47 |
Lucent Health Setting Professional Modifier None Typical Low $26,302.68 Median $26,302.68 Typical High $26,302.68 | Professional | None | $26,302.68 | $26,302.68 | $26,302.68 |
Molina Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
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 $1,071.52 Median $1,995.26 Typical High $4,365.16 | Facility | None | $1,071.52 | $1,995.26 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,137.96 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $5,495.41 | Professional | None | $1,548.82 | $1,949.84 | $5,495.41 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Where California sits
The same service costs 4.4 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· 22nd of 51
$2,138
HI $6,457DE $1,479
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.