How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,660 to $10,471Professionalmedian $2,455 · 10th to 90th $1,698 to $28,184
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $6,309.57 Typical High $12,589.25 | Facility | None | $1,621.81 | $6,309.57 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $5,370.32 | Professional | None | $2,089.30 | $2,691.53 | $5,370.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | RR · Rental | $2,089.30 | $2,089.30 | $2,089.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $2,238.72 Median $5,495.41 Typical High $9,120.11 | Facility | None | $2,238.72 | $5,495.41 | $9,120.11 |
Blue Shield Setting Professional Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $14,125.38 | Professional | None | $4,168.69 | $7,762.47 | $14,125.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,187.76 | $3,019.95 |
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 $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $4,168.69 | Professional | None | $1,995.26 | $3,801.89 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $6,606.93 | Professional | None | $2,290.87 | $2,691.53 | $6,606.93 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $28,183.83 | Professional | None | $19,498.45 | $19,498.45 | $28,183.83 |
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 $1,122.02 Median $2,454.71 Typical High $3,801.89 | Facility | None | $1,122.02 | $2,454.71 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,890.45 | $3,890.45 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $4,786.30 | Professional | None | $1,621.81 | $2,041.74 | $4,786.30 |
2 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 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Where California sits
The same service costs 2.3 times more in Montana 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· 22nd of 51
$2,455
MT $4,074DE $1,778
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.