How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,445 to $6,457Professionalmedian $1,738 · 10th to 90th $1,230 to $25,119
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $5,495.41 Typical High $10,964.78 | Facility | None | $1,174.90 | $5,495.41 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $4,677.35 | Professional | None | $1,479.11 | $1,621.81 | $4,677.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | RR · Rental | $1,479.11 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Blue Shield Setting Facility Modifier None Typical Low $1,949.84 Median $4,786.30 Typical High $7,943.28 | Facility | None | $1,949.84 | $4,786.30 | $7,943.28 |
Blue Shield Setting Professional Modifier None Typical Low $3,630.78 Median $6,918.31 Typical High $12,302.69 | Professional | None | $3,630.78 | $6,918.31 | $12,302.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $2,691.53 | Professional | None | $851.14 | $933.25 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $851.14 Median $3,311.31 Typical High $3,630.78 | Professional | None | $851.14 | $3,311.31 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $5,888.44 | Professional | None | $1,995.26 | $2,630.27 | $5,888.44 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $25,118.86 | Professional | None | $15,848.93 | $15,848.93 | $25,118.86 |
Molina Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $812.83 Median $1,778.28 Typical High $3,311.31 | Facility | None | $812.83 | $1,778.28 | $3,311.31 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $4,168.69 | Professional | None | $1,174.90 | $1,621.81 | $4,168.69 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Where California sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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· 25th of 51
$1,738
HI $3,715DC $1,318
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.