How much rates vary
Facilitymedian $4,898 · 10th to 90th $3,631 to $16,218Professionalmedian $3,890 · 10th to 90th $3,020 to $53,703
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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
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 $3,630.78 Median $5,011.87 Typical High $11,748.98 | Professional | None | $3,630.78 | $5,011.87 | $11,748.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3,630.78 Median $3,715.35 Typical High $3,715.35 | Professional | RR · Rental | $3,630.78 | $3,715.35 | $3,715.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,818.38 Typical High $2,818.38 | Professional | UE · Used equipment | $2,754.23 | $2,818.38 | $2,818.38 |
Blue Shield Setting Facility Modifier None Typical Low $4,897.79 Median $12,022.64 Typical High $19,952.62 | Facility | None | $4,897.79 | $12,022.64 | $19,952.62 |
Blue Shield Setting Professional Modifier None Typical Low $9,120.11 Median $16,982.44 Typical High $30,902.95 | Professional | None | $9,120.11 | $16,982.44 | $30,902.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $6,606.93 | Professional | None | $2,290.87 | $2,511.89 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,290.87 Median $8,317.64 Typical High $9,120.11 | Professional | None | $2,290.87 | $8,317.64 | $9,120.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $14,454.40 | Professional | None | $5,011.87 | $7,413.10 | $14,454.40 |
Lucent Health Setting Professional Modifier None Typical Low $53,703.18 Median $53,703.18 Typical High $53,703.18 | Professional | None | $53,703.18 | $53,703.18 | $53,703.18 |
Molina Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
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 $4,677.35 Typical High $8,317.64 | Facility | None | $2,041.74 | $4,677.35 | $8,317.64 |
Providence Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
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 $4,897.79 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,897.79 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $10,471.29 | Professional | None | $2,884.03 | $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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,819.70 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $363.08 | $363.08 | $363.08 |
Where California sits
The same service costs 3.9 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· 26th of 51
$4,266
HI $12,882DC $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.