How much rates vary
Facilitymedian $977 · 10th to 90th $692 to $4,074Professionalmedian $1,349 · 10th to 90th $912 to $14,791
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,311.31 Typical High $6,456.54 | Facility | None | $933.25 | $3,311.31 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,445.44 | $2,818.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | RR · Rental | $1,174.90 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $891.25 | $891.25 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $1,174.90 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,174.90 | $2,818.38 | $4,786.30 |
Blue Shield Setting Professional Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $7,244.36 | Professional | None | $2,187.76 | $4,073.80 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $676.08 Median $1,995.26 Typical High $2,187.76 | Professional | None | $676.08 | $1,995.26 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $3,467.37 | Professional | None | $1,174.90 | $1,698.24 | $3,467.37 |
Lucent Health Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $14,791.08 | Professional | None | $13,182.57 | $13,182.57 | $14,791.08 |
Molina Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $645.65 Median $1,258.93 Typical High $1,995.26 | Facility | None | $645.65 | $1,258.93 | $1,995.26 |
Providence Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $977.24 | Facility | None | $691.83 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,454.71 | Professional | None | $912.01 | $1,174.90 | $2,454.71 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Where California sits
The same service costs 2.5 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· 24th of 51
$1,259
AR $2,239DE $912
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.