How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,445 to $7,244Professionalmedian $2,399 · 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 $5,754.40 Typical High $11,481.54 | Facility | None | $1,621.81 | $5,754.40 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $4,897.79 | Professional | None | $2,089.30 | $2,570.40 | $4,897.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Professional | RR · Rental | $2,041.74 | $2,041.74 | $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 $2,041.74 Median $5,011.87 Typical High $8,317.64 | Facility | None | $2,041.74 | $5,011.87 | $8,317.64 |
Blue Shield Setting Professional Modifier None Typical Low $3,801.89 Median $7,079.46 Typical High $12,589.25 | Professional | None | $3,801.89 | $7,079.46 | $12,589.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,412.54 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $3,801.89 | Professional | None | $1,288.25 | $3,467.37 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $6,025.60 | Professional | None | $2,089.30 | $2,884.03 | $6,025.60 |
Lucent Health Setting Professional Modifier None Typical Low $22,908.68 Median $22,908.68 Typical High $28,183.83 | Professional | None | $22,908.68 | $22,908.68 | $28,183.83 |
Molina Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
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 $2,398.83 Typical High $3,467.37 | Facility | None | $1,122.02 | $2,398.83 | $3,467.37 |
Providence Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,621.81 | $2,041.74 | $4,265.80 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
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 2.2 times more in Arkansas 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· 23rd of 51
$2,399
AR $3,890DE $1,738
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.