How much rates vary
Facilitymedian $123 · 10th to 90th $41 to $240Professionalmedian $37 · 10th to 90th $30 to $138
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $58.88 | Professional | None | $30.20 | $30.20 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $29.51 | Professional | 52 · Reduced service | $15.14 | $15.14 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $11.75 | Professional | 53 · Discontinued | $6.03 | $6.03 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $8.71 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $123.03 Typical High $245.47 | Facility | None | $43.65 | $123.03 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $107.15 | Professional | None | $57.54 | $97.72 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $177.83 | Facility | None | $70.79 | $107.15 | $177.83 |
Blue Shield Setting Professional Modifier None Typical Low $81.28 Median $190.55 Typical High $316.23 | Professional | None | $81.28 | $190.55 | $316.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $31.62 Median $60.26 Typical High $60.26 | Professional | None | $31.62 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $81.28 | Professional | None | $31.62 | $47.86 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | None | $67.61 | $67.61 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $562.34 | Professional | None | $489.78 | $489.78 | $562.34 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $63.10 Typical High $107.15 | Facility | None | $30.20 | $63.10 | $107.15 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
United Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $91.20 | Professional | None | $33.88 | $36.31 | $91.20 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $54.95 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Where California sits
The same service costs 2.8 times more in Montana than in Alabama. 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· 39th of 51
$43.65
MT $100AL $36.31
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.