How much rates vary
Facilitymedian $676 · 10th to 90th $575 to $2,818Professionalmedian $912 · 10th to 90th $646 to $9,772
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $2,290.87 Typical High $4,466.84 | Facility | None | $616.60 | $2,290.87 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,995.26 | Professional | None | $794.33 | $1,047.13 | $1,995.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | RR · Rental | $776.25 | $776.25 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Blue Shield Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $3,311.31 | Facility | None | $812.83 | $1,949.84 | $3,311.31 |
Blue Shield Setting Professional Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $5,011.87 | Professional | None | $1,513.56 | $2,818.38 | $5,011.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,096.48 | Professional | None | $537.03 | $588.84 | $1,096.48 |
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 $537.03 Median $1,380.38 Typical High $1,513.56 | Professional | None | $537.03 | $1,380.38 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $2,398.83 | Professional | None | $812.83 | $1,122.02 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $9,772.37 | Professional | None | $8,709.64 | $8,709.64 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $426.58 Median $912.01 Typical High $1,380.38 | Facility | None | $426.58 | $912.01 | $1,380.38 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $676.08 | Facility | None | $575.44 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,698.24 | Professional | None | $616.60 | $812.83 | $1,698.24 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where California sits
The same service costs 2.3 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
$912
HI $1,514DE $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.