How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,995 to $8,710Professionalmedian $2,399 · 10th to 90th $1,660 to $26,915
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $7,413.10 Typical High $14,791.08 | Facility | None | $1,584.89 | $7,413.10 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $6,309.57 | Professional | None | $1,995.26 | $2,630.27 | $6,309.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RR · Rental | $1,995.26 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,513.56 Typical High $1,513.56 | Professional | UE · Used equipment | $1,479.11 | $1,513.56 | $1,513.56 |
Blue Shield Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $10,715.19 | Facility | None | $2,630.27 | $6,456.54 | $10,715.19 |
Blue Shield Setting Professional Modifier None Typical Low $4,897.79 Median $9,332.54 Typical High $16,595.87 | Professional | None | $4,897.79 | $9,332.54 | $16,595.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $3,630.78 | Professional | None | $1,905.46 | $2,089.30 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,905.46 Median $4,466.84 Typical High $4,897.79 | Professional | None | $1,905.46 | $4,466.84 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $7,943.28 | Professional | None | $2,691.53 | $3,548.13 | $7,943.28 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $22,908.68 Typical High $26,915.35 | Professional | None | $22,908.68 | $22,908.68 | $26,915.35 |
Molina Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $1,096.48 Median $2,454.71 Typical High $4,466.84 | Facility | None | $1,096.48 | $2,454.71 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,187.76 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $5,623.41 | Professional | None | $1,584.89 | $2,187.76 | $5,623.41 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Where California sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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· 25th of 51
$2,344
HI $5,623DC $1,778
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.