How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,047 to $6,607Professionalmedian $1,549 · 10th to 90th $977 to $18,197
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $3,981.07 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,981.07 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,388.44 | Professional | None | $1,288.25 | $1,548.82 | $3,388.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | RR · Rental | $1,318.26 | $1,318.26 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | UE · Used equipment | $977.24 | $977.24 | $1,096.48 |
Blue Shield Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $5,754.40 | Facility | None | $1,412.54 | $3,467.37 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $2,630.27 Median $4,897.79 Typical High $8,912.51 | Professional | None | $2,630.27 | $4,897.79 | $8,912.51 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,905.46 | Professional | None | $891.25 | $977.24 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $891.25 Median $2,398.83 Typical High $2,630.27 | Professional | None | $891.25 | $2,398.83 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $4,168.69 | Professional | None | $1,445.44 | $2,041.74 | $4,168.69 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $18,197.01 | Professional | None | $12,302.69 | $12,302.69 | $18,197.01 |
Molina Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $707.95 Median $1,348.96 Typical High $2,398.83 | Facility | None | $707.95 | $1,348.96 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,951.21 | Facility | None | $2,511.89 | $2,511.89 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,288.25 | $3,019.95 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Where California sits
The same service costs 2.6 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
$1,549
MT $2,512DE $977
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.