How much rates vary
Facilitymedian $1,585 · 10th to 90th $692 to $4,365Professionalmedian $1,023 · 10th to 90th $708 to $11,749
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $2,630.27 Typical High $5,248.07 | Facility | None | $676.08 | $2,630.27 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,238.72 | Professional | None | $851.14 | $1,023.29 | $2,238.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | RR · Rental | $870.96 | $870.96 | $954.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | UE · Used equipment | $645.65 | $645.65 | $707.95 |
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 $831.76 Median $912.01 Typical High $1,258.93 | Professional | None | $831.76 | $912.01 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | None | $812.83 | $812.83 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $1,737.80 | Professional | None | $831.76 | $1,584.89 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $2,754.23 | Professional | None | $954.99 | $1,122.02 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $11,748.98 | Professional | None | $8,128.31 | $8,128.31 | $11,748.98 |
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 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $1,122.02 Typical High $1,584.89 | Facility | None | $467.74 | $1,122.02 | $1,584.89 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | None | $812.83 | $812.83 | $1,122.02 |
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 $1,621.81 Median $1,621.81 Typical High $1,949.84 | Facility | None | $1,621.81 | $1,621.81 | $1,949.84 |
United Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,995.26 | Professional | None | $676.08 | $851.14 | $1,995.26 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Where California sits
The same service costs 2.1 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· 21st of 51
$1,096
MT $1,698DE $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.