How much rates vary
Facilitymedian $813 · 10th to 90th $295 to $2,239Professionalmedian $380 · 10th to 90th $275 to $4,786
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | None | $524.81 | $524.81 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $1,348.96 Typical High $2,691.53 | Facility | None | $288.40 | $1,348.96 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $1,148.15 | Professional | None | $416.87 | $489.78 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | RR · Rental | $363.08 | $363.08 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | UE · Used equipment | $275.42 | $275.42 | $309.03 |
Blue Shield Setting Facility Modifier None Typical Low $478.63 Median $1,174.90 Typical High $1,949.84 | Facility | None | $478.63 | $1,174.90 | $1,949.84 |
Blue Shield Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $3,019.95 | Professional | None | $891.25 | $1,659.59 | $3,019.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $645.65 | Professional | None | $426.58 | $467.74 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $812.83 Typical High $891.25 | Professional | None | $426.58 | $812.83 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,412.54 | Professional | None | $489.78 | $616.60 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $199.53 Median $380.19 Typical High $812.83 | Facility | None | $199.53 | $380.19 | $812.83 |
Providence Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $812.83 | Facility | None | $691.83 | $691.83 | $812.83 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $1,023.29 | Professional | None | $281.84 | $398.11 | $1,023.29 |
2 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 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 34th of 51
$398
AK $1,023DE $275
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.