How much rates vary
Facilitymedian $468 · 10th to 90th $398 to $2,138Professionalmedian $501 · 10th to 90th $331 to $5,370
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $1,584.89 Typical High $3,162.28 | Facility | None | $338.84 | $1,584.89 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $1,348.96 | Professional | None | $426.58 | $489.78 | $1,348.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | RR · Rental | $426.58 | $426.58 | $457.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | UE · Used equipment | $323.59 | $323.59 | $338.84 |
Blue Shield Setting Facility Modifier None Typical Low $562.34 Median $1,380.38 Typical High $2,290.87 | Facility | None | $562.34 | $1,380.38 | $2,290.87 |
Blue Shield Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $3,548.13 | Professional | None | $1,047.13 | $1,949.84 | $3,548.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $776.25 | Professional | None | $346.74 | $380.19 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Contra Costa Health Setting Professional Modifier None Typical Low $346.74 Median $954.99 Typical High $1,047.13 | Professional | None | $346.74 | $954.99 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,698.24 | Professional | None | $575.44 | $676.08 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,370.32 | Professional | None | $4,786.30 | $4,786.30 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
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 $234.42 Median $446.68 Typical High $954.99 | Facility | None | $234.42 | $446.68 | $954.99 |
Providence Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $1,202.26 | Professional | None | $331.13 | $467.74 | $1,202.26 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Where California sits
The same service costs 2.8 times more in Iowa 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· 23rd of 51
$490
IA $933DE $331
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.