How much rates vary
Facilitymedian $776 · 10th to 90th $661 to $3,236Professionalmedian $977 · 10th to 90th $692 to $12,589
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $2,630.27 Typical High $5,248.07 | Facility | None | $660.69 | $2,630.27 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $2,238.72 | Professional | None | $851.14 | $1,096.48 | $2,238.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | RR · Rental | $831.76 | $831.76 | $851.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | UE · Used equipment | $630.96 | $630.96 | $630.96 |
Blue Shield Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $3,801.89 | Facility | None | $933.25 | $2,290.87 | $3,801.89 |
Blue Shield Setting Professional Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $5,888.44 | Professional | None | $1,737.80 | $3,235.94 | $5,888.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $1,258.93 | Professional | None | $588.84 | $645.65 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $588.84 Median $1,584.89 Typical High $1,737.80 | Professional | None | $588.84 | $1,584.89 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $2,754.23 | Professional | None | $954.99 | $1,348.96 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $12,589.25 | Professional | None | $8,317.64 | $8,317.64 | $12,589.25 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $457.09 Median $1,096.48 Typical High $1,584.89 | Facility | None | $457.09 | $1,096.48 | $1,584.89 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $776.25 | Facility | None | $660.69 | $776.25 | $776.25 |
United Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,995.26 | Professional | None | $660.69 | $831.76 | $1,995.26 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Where California sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$977
HI $1,778FL $813
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.