How much rates vary
Facilitymedian $331 · 10th to 90th $257 to $1,349Professionalmedian $380 · 10th to 90th $263 to $4,074
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $1,122.02 Typical High $2,187.76 | Facility | None | $251.19 | $1,122.02 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $933.25 | Professional | None | $323.59 | $426.58 | $933.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Blue Shield Setting Facility Modifier None Typical Low $398.11 Median $954.99 Typical High $1,621.81 | Facility | None | $398.11 | $954.99 | $1,621.81 |
Blue Shield Setting Professional Modifier None Typical Low $741.31 Median $1,380.38 Typical High $2,454.71 | Professional | None | $741.31 | $1,380.38 | $2,454.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $537.03 | Professional | None | $234.42 | $257.04 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $676.08 Typical High $741.31 | Professional | None | $234.42 | $676.08 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $1,174.90 | Professional | None | $398.11 | $489.78 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Professional | None | $3,235.94 | $3,235.94 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
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 $173.78 Median $398.11 Typical High $676.08 | Facility | None | $173.78 | $398.11 | $676.08 |
Providence Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $331.13 | Facility | None | $257.04 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $831.76 | Professional | None | $251.19 | $323.59 | $831.76 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Where California sits
The same service costs 2.5 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· 24th of 51
$380
HI $708DC $282
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.