How much rates vary
Facilitymedian $2,512 · 10th to 90th $2,455 to $10,471Professionalmedian $3,090 · 10th to 90th $2,042 to $44,668
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $8,511.38 Typical High $16,982.44 | Facility | None | $2,137.96 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $7,244.36 | Professional | None | $2,511.89 | $2,951.21 | $7,244.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | RR · Rental | $2,691.53 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Blue Shield Setting Facility Modifier None Typical Low $3,019.95 Median $7,413.10 Typical High $12,302.69 | Facility | None | $3,019.95 | $7,413.10 | $12,302.69 |
Blue Shield Setting Professional Modifier None Typical Low $5,623.41 Median $10,715.19 Typical High $19,054.61 | Professional | None | $5,623.41 | $10,715.19 | $19,054.61 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $4,168.69 | Professional | None | $1,862.09 | $2,089.30 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,862.09 Median $5,128.61 Typical High $5,623.41 | Professional | None | $1,862.09 | $5,128.61 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $9,120.11 | Professional | None | $3,090.30 | $4,265.80 | $9,120.11 |
Lucent Health Setting Professional Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $44,668.36 | Professional | None | $30,199.52 | $30,199.52 | $44,668.36 |
Molina Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
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 $1,479.11 Median $2,754.23 Typical High $5,128.61 | Facility | None | $1,479.11 | $2,754.23 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | None | $9,549.93 | $9,549.93 | $9,549.93 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $6,456.54 | Professional | None | $2,089.30 | $2,691.53 | $6,456.54 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $269.15 |
Where California sits
The same service costs 2.8 times more in Wyoming 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· 32nd of 51
$2,754
WY $5,754DE $2,042
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.