How much rates vary
Facilitymedian $5,370 · 10th to 90th $3,715 to $16,596Professionalmedian $4,074 · 10th to 90th $3,090 to $47,863
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna 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 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $13,803.84 Typical High $27,542.29 | Facility | None | $2,951.21 | $13,803.84 | $27,542.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $11,748.98 | Professional | None | $3,801.89 | $5,011.87 | $11,748.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3,715.35 Median $3,715.35 Typical High $3,801.89 | Professional | RR · Rental | $3,715.35 | $3,715.35 | $3,801.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $2,818.38 |
Blue Shield Setting Facility Modifier None Typical Low $4,897.79 Median $12,022.64 Typical High $20,417.38 | Facility | None | $4,897.79 | $12,022.64 | $20,417.38 |
Blue Shield Setting Professional Modifier None Typical Low $9,120.11 Median $17,378.01 Typical High $30,902.95 | Professional | None | $9,120.11 | $17,378.01 | $30,902.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $6,760.83 | Professional | None | $3,981.07 | $4,365.16 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,981.07 Median $8,317.64 Typical High $9,332.54 | Professional | None | $3,981.07 | $8,317.64 | $9,332.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $7,079.46 Typical High $14,791.08 | Professional | None | $5,011.87 | $7,079.46 | $14,791.08 |
Lucent Health Setting Professional Modifier None Typical Low $47,863.01 Median $47,863.01 Typical High $47,863.01 | Professional | None | $47,863.01 | $47,863.01 | $47,863.01 |
Molina Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
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 $2,041.74 Median $4,897.79 Typical High $8,317.64 | Facility | None | $2,041.74 | $4,897.79 | $8,317.64 |
Providence Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Professional | None | $15,488.17 | $15,488.17 | $15,488.17 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $5,370.32 | Facility | None | $4,073.80 | $5,370.32 | $5,370.32 |
United Setting Professional Modifier None Typical Low $2,951.21 Median $4,073.80 Typical High $10,471.29 | Professional | None | $2,951.21 | $4,073.80 | $10,471.29 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 55 · Aftercare only | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 56 · Pre-op care only | $371.54 | $371.54 | $371.54 |
Where California sits
The same service costs 3.5 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· 24th of 51
$4,467
HI $11,482DC $3,311
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.