How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,698 to $7,943Professionalmedian $2,291 · 10th to 90th $1,585 to $26,303
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $6,606.93 Typical High $13,182.57 | Facility | None | $1,513.56 | $6,606.93 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $5,623.41 | Professional | None | $1,949.84 | $2,570.40 | $5,623.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | RR · Rental | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,445.44 |
Blue Shield Setting Facility Modifier None Typical Low $2,344.23 Median $5,754.40 Typical High $9,549.93 | Facility | None | $2,344.23 | $5,754.40 | $9,549.93 |
Blue Shield Setting Professional Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $14,454.40 | Professional | None | $4,365.16 | $8,128.31 | $14,454.40 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,479.11 | $1,621.81 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,479.11 Median $3,981.07 Typical High $4,365.16 | Professional | None | $1,479.11 | $3,981.07 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $6,918.31 | Professional | None | $2,398.83 | $2,818.38 | $6,918.31 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $26,302.68 | Professional | None | $19,498.45 | $19,498.45 | $26,302.68 |
Molina Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
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 $1,047.13 Median $2,454.71 Typical High $3,981.07 | Facility | None | $1,047.13 | $2,454.71 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $5,011.87 | Professional | None | $1,513.56 | $1,949.84 | $5,011.87 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Where California sits
The same service costs 2.4 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· 23rd of 51
$2,291
HI $4,365DE $1,820
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.