How much rates vary
Facilitymedian $794 · 10th to 90th $324 to $2,188Professionalmedian $479 · 10th to 90th $331 to $5,129
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $1,318.26 Typical High $2,630.27 | Facility | None | $323.59 | $1,318.26 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $1,122.02 | Professional | None | $398.11 | $457.09 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | RR · Rental | $407.38 | $407.38 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | UE · Used equipment | $302.00 | $302.00 | $316.23 |
Blue Shield Setting Facility Modifier None Typical Low $467.74 Median $1,148.15 Typical High $1,905.46 | Facility | None | $467.74 | $1,148.15 | $1,905.46 |
Blue Shield Setting Professional Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,951.21 | Professional | None | $870.96 | $1,659.59 | $2,951.21 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $645.65 | Professional | None | $416.87 | $457.09 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
Contra Costa Health Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $870.96 | Professional | None | $416.87 | $794.33 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,412.54 | Professional | None | $478.63 | $660.69 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,128.61 | Professional | None | $3,890.45 | $3,890.45 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $562.34 Typical High $794.33 | Facility | None | $223.87 | $562.34 | $794.33 |
Providence Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
Sutter Health Plus 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 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Facility | None | $776.25 | $776.25 | $912.01 |
United Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $1,000.00 | Professional | None | $316.23 | $398.11 | $1,000.00 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Where California sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 21st of 51
$537
HI $1,047NJ $407
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.