How much rates vary
Facilitymedian $151 · 10th to 90th $79 to $437Professionalmedian $98 · 10th to 90th $68 to $1,122
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $251.19 Typical High $501.19 | Facility | None | $79.43 | $251.19 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $213.80 | Professional | None | $102.33 | $109.65 | $213.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $97.72 Median $102.33 Typical High $134.90 | Professional | RR · Rental | $97.72 | $102.33 | $134.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $218.78 Typical High $363.08 | Facility | None | $97.72 | $218.78 | $363.08 |
Blue Shield Setting Professional Modifier None Typical Low $165.96 Median $309.03 Typical High $549.54 | Professional | None | $165.96 | $309.03 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $120.23 | Professional | None | $79.43 | $87.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $165.96 | Professional | None | $79.43 | $151.36 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $346.74 | Professional | None | $91.20 | $134.90 | $346.74 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,122.02 | Professional | None | $776.25 | $776.25 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
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 $44.67 Median $97.72 Typical High $151.36 | Facility | None | $44.67 | $97.72 | $151.36 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Facility | None | $154.88 | $154.88 | $181.97 |
United Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $190.55 | Professional | None | $64.57 | $81.28 | $190.55 |
2 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 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $8.13 |
Where California sits
The same service costs 4.2 times more in Kansas 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· 29th of 51
$97.72
KS $302DE $72.44
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.