How much rates vary
Facilitymedian $562 · 10th to 90th $468 to $1,995Professionalmedian $832 · 10th to 90th $389 to $6,457
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $2,290.87 | Facility | None | $446.68 | $588.84 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $1,258.93 | Professional | None | $478.63 | $616.60 | $1,258.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $602.56 Median $602.56 Typical High $1,737.80 | Professional | RR · Rental | $602.56 | $602.56 | $1,737.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Blue Shield Setting Professional Modifier None Typical Low $588.84 Median $954.99 Typical High $1,995.26 | Professional | None | $588.84 | $954.99 | $1,995.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $691.83 | Professional | None | $524.81 | $575.44 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $1,513.56 | Professional | None | $512.86 | $630.96 | $1,513.56 |
Lucent Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $6,456.54 | Professional | None | $4,466.84 | $4,466.84 | $6,456.54 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,513.56 | Facility | None | $478.63 | $630.96 | $1,513.56 |
Providence Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $1,071.52 | Professional | None | $363.08 | $478.63 | $1,071.52 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Where California sits
The same service costs 3.2 times more in Michigan than in Ohio. 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· 19th of 51
$794
MI $1,413OH $447
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.