How much rates vary
Facilitymedian $1,230 · 10th to 90th $832 to $3,981Professionalmedian $1,072 · 10th to 90th $741 to $12,589
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,884.03 Typical High $5,754.40 | Facility | None | $707.95 | $2,884.03 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,454.71 | Professional | None | $912.01 | $1,174.90 | $2,454.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RR · Rental | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Blue Shield Setting Facility Modifier None Typical Low $1,023.29 Median $2,454.71 Typical High $4,168.69 | Facility | None | $1,023.29 | $2,454.71 | $4,168.69 |
Blue Shield Setting Professional Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $6,309.57 | Professional | None | $1,905.46 | $3,548.13 | $6,309.57 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,380.38 | Professional | None | $630.96 | $691.83 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $630.96 Median $1,737.80 Typical High $1,905.46 | Professional | None | $630.96 | $1,737.80 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,202.26 | $3,019.95 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $12,589.25 | Professional | None | $8,511.38 | $8,511.38 | $12,589.25 |
Molina 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 |
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 $489.78 Median $1,230.27 Typical High $1,737.80 | Facility | None | $489.78 | $1,230.27 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $2,137.96 | Professional | None | $707.95 | $891.25 | $2,137.96 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Where California sits
The same service costs 2.1 times more in Wisconsin than in Florida. 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
$1,072
WI $1,820FL $871
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.