How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,862 to $8,710Professionalmedian $2,344 · 10th to 90th $1,622 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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $7,413.10 Typical High $14,791.08 | Facility | None | $1,584.89 | $7,413.10 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $6,165.95 | Professional | None | $1,995.26 | $2,691.53 | $6,165.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RR · Rental | $1,995.26 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,513.56 |
Blue Shield Setting Facility Modifier None Typical Low $2,630.27 Median $6,456.54 Typical High $10,715.19 | Facility | None | $2,630.27 | $6,456.54 | $10,715.19 |
Blue Shield Setting Professional Modifier None Typical Low $4,897.79 Median $9,120.11 Typical High $16,595.87 | Professional | None | $4,897.79 | $9,120.11 | $16,595.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $3,548.13 | Professional | None | $1,148.15 | $1,258.93 | $3,548.13 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,148.15 Median $4,466.84 Typical High $4,897.79 | Professional | None | $1,148.15 | $4,466.84 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $7,762.47 | Professional | None | $2,691.53 | $3,162.28 | $7,762.47 |
Lucent Health Setting Professional Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $25,118.86 | Professional | None | $21,379.62 | $21,379.62 | $25,118.86 |
Molina Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $1,096.48 Median $2,691.53 Typical High $4,466.84 | Facility | None | $1,096.48 | $2,691.53 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Sutter Health Plus Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,862.09 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $5,623.41 | Professional | None | $1,548.82 | $2,137.96 | $5,623.41 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Where California sits
The same service costs 2.9 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
$2,344
HI $5,012DC $1,738
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.