How much rates vary
Facilitymedian $4,786 · 10th to 90th $2,089 to $13,183Professionalmedian $3,090 · 10th to 90th $2,089 to $36,308
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $7,943.28 Typical High $15,848.93 | Facility | None | $2,089.30 | $7,943.28 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $6,760.83 | Professional | None | $2,570.40 | $3,162.28 | $6,760.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,630.27 Median $2,630.27 Typical High $2,884.03 | Professional | RR · Rental | $2,630.27 | $2,630.27 | $2,884.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $1,949.84 Typical High $2,187.76 | Professional | UE · Used equipment | $1,949.84 | $1,949.84 | $2,187.76 |
Blue Shield Setting Facility Modifier None Typical Low $2,818.38 Median $6,918.31 Typical High $11,481.54 | Facility | None | $2,818.38 | $6,918.31 | $11,481.54 |
Blue Shield Setting Professional Modifier None Typical Low $5,248.07 Median $9,772.37 Typical High $17,782.79 | Professional | None | $5,248.07 | $9,772.37 | $17,782.79 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $3,890.45 | Professional | None | $2,511.89 | $2,754.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,511.89 Median $4,786.30 Typical High $5,248.07 | Professional | None | $2,511.89 | $4,786.30 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $3,890.45 Typical High $8,511.38 | Professional | None | $2,884.03 | $3,890.45 | $8,511.38 |
Lucent Health Setting Professional Modifier None Typical Low $24,547.09 Median $24,547.09 Typical High $36,307.81 | Professional | None | $24,547.09 | $24,547.09 | $36,307.81 |
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 $1,445.44 Median $2,884.03 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,884.03 | $4,786.30 |
Providence Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,888.44 | Facility | None | $5,011.87 | $5,011.87 | $5,888.44 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $6,025.60 | Professional | None | $2,041.74 | $2,570.40 | $6,025.60 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Where California sits
The same service costs 2.4 times more in Montana 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· 22nd of 51
$3,090
MT $5,012DE $2,089
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.