How much rates vary
Facilitymedian $813 · 10th to 90th $251 to $1,622Professionalmedian $229 · 10th to 90th $182 to $977
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $354.81 | Professional | None | $181.97 | $181.97 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | 52 · Reduced service | $91.20 | $91.20 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | 53 · Discontinued | $36.31 | $36.31 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $53.70 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $35.48 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $870.96 Typical High $1,737.80 | Facility | None | $263.03 | $870.96 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $758.58 | Professional | None | $363.08 | $602.56 | $758.58 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $758.58 Typical High $1,258.93 | Facility | None | $309.03 | $758.58 | $1,258.93 |
Blue Shield Setting Professional Modifier None Typical Low $575.44 Median $1,348.96 Typical High $2,238.72 | Professional | None | $575.44 | $1,348.96 | $2,238.72 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $426.58 | Professional | None | $316.23 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | None | $524.81 | $524.81 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $660.69 | Professional | None | $478.63 | $478.63 | $660.69 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,388.44 | Professional | None | $3,019.95 | $3,019.95 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $758.58 | Facility | None | $181.97 | $346.74 | $758.58 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Facility | None | $512.86 | $512.86 | $602.56 |
United Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $575.44 | Professional | None | $204.17 | $223.87 | $575.44 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | RR · Rental | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | UE · Used equipment | $251.19 | $251.19 | $251.19 |
Where California sits
The same service costs 2.8 times more in Montana than in Florida. 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
$269
MT $603FL $219
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.