How much rates vary
Facilitymedian $955 · 10th to 90th $813 to $3,802Professionalmedian $1,023 · 10th to 90th $661 to $10,965
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $3,235.94 Typical High $6,456.54 | Facility | None | $691.83 | $3,235.94 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $2,691.53 | Professional | None | $870.96 | $954.99 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | RR · Rental | $870.96 | $870.96 | $870.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Blue Shield Setting Facility Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $4,677.35 | Facility | None | $1,148.15 | $2,818.38 | $4,677.35 |
Blue Shield Setting Professional Modifier None Typical Low $2,137.96 Median $3,981.07 Typical High $7,079.46 | Professional | None | $2,137.96 | $3,981.07 | $7,079.46 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,548.82 | Professional | None | $660.69 | $741.31 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $660.69 Median $1,949.84 Typical High $2,137.96 | Professional | None | $660.69 | $1,949.84 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,380.38 | $3,388.44 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,964.78 | Professional | None | $9,332.54 | $9,332.54 | $10,964.78 |
Molina Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
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 $478.63 Median $912.01 Typical High $1,949.84 | Facility | None | $478.63 | $912.01 | $1,949.84 |
Providence Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Sutter Health Plus 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 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Facility | None | $812.83 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $2,454.71 | Professional | None | $691.83 | $954.99 | $2,454.71 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Where California sits
The same service costs 3.2 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· 25th of 51
$955
HI $2,138DE $661
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.