How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,820 to $8,913Professionalmedian $2,399 · 10th to 90th $1,698 to $28,840
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $6,165.95 Typical High $12,302.69 | Facility | None | $1,621.81 | $6,165.95 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $5,370.32 | Professional | None | $2,041.74 | $2,691.53 | $5,370.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | RR · Rental | $2,041.74 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $2,187.76 Median $5,370.32 Typical High $9,120.11 | Facility | None | $2,187.76 | $5,370.32 | $9,120.11 |
Blue Shield Setting Professional Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $13,803.84 | Professional | None | $4,168.69 | $7,762.47 | $13,803.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,412.54 | $1,548.82 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,412.54 Median $3,715.35 Typical High $4,168.69 | Professional | None | $1,412.54 | $3,715.35 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $6,606.93 | Professional | None | $2,238.72 | $2,884.03 | $6,606.93 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $28,840.32 | Professional | None | $19,498.45 | $19,498.45 | $28,840.32 |
Molina Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $1,122.02 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,122.02 | $2,691.53 | $3,715.35 |
Providence Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $4,677.35 | Professional | None | $1,621.81 | $2,041.74 | $4,677.35 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Where California sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$2,399
HI $4,074NJ $1,950
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.