How much rates vary
Facilitymedian $1,202 · 10th to 90th $1,047 to $4,786Professionalmedian $1,288 · 10th to 90th $832 to $16,218
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $4,073.80 Typical High $8,128.31 | Facility | None | $870.96 | $4,073.80 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $3,467.37 | Professional | None | $1,096.48 | $1,479.11 | $3,467.37 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | RR · Rental | $1,096.48 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Blue Shield Setting Facility Modifier None Typical Low $1,445.44 Median $3,548.13 Typical High $5,888.44 | Facility | None | $1,445.44 | $3,548.13 | $5,888.44 |
Blue Shield Setting Professional Modifier None Typical Low $2,691.53 Median $5,011.87 Typical High $9,120.11 | Professional | None | $2,691.53 | $5,011.87 | $9,120.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $1,949.84 | Professional | None | $660.69 | $724.44 | $1,949.84 |
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 $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $660.69 Median $2,454.71 Typical High $2,691.53 | Professional | None | $660.69 | $2,454.71 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $4,265.80 | Professional | None | $1,479.11 | $1,737.80 | $4,265.80 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $16,218.10 | Professional | None | $11,748.98 | $11,748.98 | $16,218.10 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $602.56 Median $1,122.02 Typical High $2,454.71 | Facility | None | $602.56 | $1,122.02 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $3,090.30 | Professional | None | $870.96 | $1,202.26 | $3,090.30 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Where California sits
The same service costs 3.1 times more in Hawaii 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· 27th of 51
$1,202
HI $2,692DE $871
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.