How much rates vary
Facilitymedian $1,479 · 10th to 90th $1,072 to $2,754Professionalmedian $1,698 · 10th to 90th $1,175 to $19,953
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $5,623.41 | Facility | None | $1,047.13 | $1,348.96 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,202.26 | $1,905.46 | $3,801.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | RR · Rental | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | UE · Used equipment | $1,071.52 | $1,071.52 | $1,071.52 |
Blue Shield Setting Professional Modifier None Typical Low $3,019.95 Median $5,623.41 Typical High $10,000.00 | Professional | None | $3,019.95 | $5,623.41 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $3,311.31 | Professional | None | $2,187.76 | $3,019.95 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $4,786.30 | Professional | None | $1,659.59 | $1,905.46 | $4,786.30 |
Lucent Health Setting Professional Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $19,952.62 | Professional | None | $13,489.63 | $13,489.63 | $19,952.62 |
Molina Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
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 $794.33 Median $1,479.11 Typical High $2,754.23 | Facility | None | $794.33 | $1,479.11 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $3,388.44 | Professional | None | $1,122.02 | $1,412.54 | $3,388.44 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Where California sits
The same service costs 2.6 times more in Montana than in New York. 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
$1,549
MT $2,754NY $1,072
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.