How much rates vary
Facilitymedian $44,668 · 10th to 90th $19,055 to $123,027Professionalmedian $28,184 · 10th to 90th $19,498 to $331,131
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 $23,442.29 Median $23,442.29 Typical High $23,442.29 | Facility | None | $23,442.29 | $23,442.29 | $23,442.29 |
Aetna Setting Professional Modifier None Typical Low $23,442.29 Median $23,442.29 Typical High $23,442.29 | Professional | None | $23,442.29 | $23,442.29 | $23,442.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,620.87 Median $74,131.02 Typical High $144,543.98 | Facility | None | $18,620.87 | $74,131.02 | $144,543.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $23,988.33 Median $30,902.95 Typical High $63,095.73 | Professional | None | $23,988.33 | $30,902.95 | $63,095.73 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | RR · Rental | $23,988.33 | $23,988.33 | $23,988.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | UE · Used equipment | $17,782.79 | $17,782.79 | $17,782.79 |
Blue Shield Setting Facility Modifier None Typical Low $26,302.68 Median $63,095.73 Typical High $107,151.93 | Facility | None | $26,302.68 | $63,095.73 | $107,151.93 |
Blue Shield Setting Professional Modifier None Typical Low $48,977.88 Median $91,201.08 Typical High $162,181.01 | Professional | None | $48,977.88 | $91,201.08 | $162,181.01 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16,218.10 Median $17,782.79 Typical High $35,481.34 | Professional | None | $16,218.10 | $17,782.79 | $35,481.34 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $16,218.10 Median $44,668.36 Typical High $48,977.88 | Professional | None | $16,218.10 | $44,668.36 | $48,977.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26,915.35 Median $30,902.95 Typical High $77,624.71 | Professional | None | $26,915.35 | $30,902.95 | $77,624.71 |
Lucent Health Setting Professional Modifier None Typical Low $245,470.89 Median $245,470.89 Typical High $331,131.12 | Professional | None | $245,470.89 | $245,470.89 | $331,131.12 |
Molina Setting Professional Modifier None Typical Low $48,977.88 Median $48,977.88 Typical High $48,977.88 | Professional | None | $48,977.88 | $48,977.88 | $48,977.88 |
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 $12,882.50 Median $30,199.52 Typical High $44,668.36 | Facility | None | $12,882.50 | $30,199.52 | $44,668.36 |
Providence Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $81,283.05 Median $81,283.05 Typical High $81,283.05 | Professional | None | $81,283.05 | $81,283.05 | $81,283.05 |
United Setting Facility Modifier None Typical Low $45,708.82 Median $45,708.82 Typical High $53,703.18 | Facility | None | $45,708.82 | $45,708.82 | $53,703.18 |
United Setting Professional Modifier None Typical Low $18,620.87 Median $23,442.29 Typical High $54,954.09 | Professional | None | $18,620.87 | $23,442.29 | $54,954.09 |
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 $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | 52 · Reduced service | $11,748.98 | $11,748.98 | $11,748.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | 53 · Discontinued | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | 55 · Aftercare only | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 56 · Pre-op care only | $2,344.23 | $2,344.23 | $2,344.23 |
Where California sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$30,200
HI $47,863NJ $22,387
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.