How much rates vary
Facilitymedian $9,333 · 10th to 90th $7,943 to $39,811Professionalmedian $12,589 · 10th to 90th $8,710 to $134,896
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 $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | None | $10,471.29 | $10,471.29 | $10,471.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $31,622.78 Typical High $63,095.73 | Facility | None | $8,317.64 | $31,622.78 | $63,095.73 |
Anthem BCBS Setting Professional Modifier None Typical Low $10,715.19 Median $13,803.84 Typical High $27,542.29 | Professional | None | $10,715.19 | $13,803.84 | $27,542.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | RR · Rental | $10,715.19 | $10,715.19 | $10,715.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | UE · Used equipment | $7,943.28 | $7,943.28 | $7,943.28 |
Blue Shield Setting Facility Modifier None Typical Low $11,220.18 Median $27,542.29 Typical High $46,773.51 | Facility | None | $11,220.18 | $27,542.29 | $46,773.51 |
Blue Shield Setting Professional Modifier None Typical Low $21,379.62 Median $39,810.72 Typical High $70,794.58 | Professional | None | $21,379.62 | $39,810.72 | $70,794.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,762.47 Typical High $15,488.17 | Professional | None | $7,079.46 | $7,762.47 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $7,079.46 Median $19,054.61 Typical High $21,379.62 | Professional | None | $7,079.46 | $19,054.61 | $21,379.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11,481.54 Median $14,454.40 Typical High $33,884.42 | Professional | None | $11,481.54 | $14,454.40 | $33,884.42 |
Lucent Health Setting Professional Modifier None Typical Low $117,489.76 Median $117,489.76 Typical High $134,896.29 | Professional | None | $117,489.76 | $117,489.76 | $134,896.29 |
Molina Setting Professional Modifier None Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Professional | None | $22,908.68 | $22,908.68 | $22,908.68 |
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 $5,754.40 Median $12,589.25 Typical High $19,054.61 | Facility | None | $5,754.40 | $12,589.25 | $19,054.61 |
Providence Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $35,481.34 Median $35,481.34 Typical High $35,481.34 | Professional | None | $35,481.34 | $35,481.34 | $35,481.34 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $9,332.54 | Facility | None | $7,943.28 | $9,332.54 | $9,332.54 |
United Setting Professional Modifier None Typical Low $8,317.64 Median $10,471.29 Typical High $23,988.33 | Professional | None | $8,317.64 | $10,471.29 | $23,988.33 |
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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | 52 · Reduced service | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 53 · Discontinued | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $1,047.13 | $1,047.13 | $1,047.13 |
Where California sits
The same service costs 2.5 times more in Montana than in Florida. 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· 26th of 51
$12,589
MT $22,387FL $9,120
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.