How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,445 to $5,888Professionalmedian $776 · 10th to 90th $646 to $2,951
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,202.26 | Professional | None | $645.65 | $645.65 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $602.56 | Professional | 52 · Reduced service | $316.23 | $316.23 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $239.88 | Professional | 53 · Discontinued | $128.82 | $128.82 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $120.23 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $6,606.93 | Facility | None | $1,584.89 | $2,630.27 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,445.44 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,089.30 Median $2,187.76 Typical High $2,187.76 | Professional | RR · Rental | $2,089.30 | $2,187.76 | $2,187.76 |
Blue Shield Setting Facility Modifier None Typical Low $933.25 Median $2,238.72 Typical High $3,801.89 | Facility | None | $933.25 | $2,238.72 | $3,801.89 |
Blue Shield Setting Professional Modifier None Typical Low $1,737.80 Median $3,981.07 Typical High $6,760.83 | Professional | None | $1,737.80 | $3,981.07 | $6,760.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,584.89 | $1,584.89 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,412.54 | $1,412.54 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $14,454.40 | Professional | None | $10,471.29 | $10,471.29 | $14,454.40 |
Molina Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $2,398.83 | Facility | None | $645.65 | $1,318.26 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Facility | None | $1,778.28 | $1,778.28 | $2,089.30 |
United Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,949.84 | Professional | None | $707.95 | $776.25 | $1,949.84 |
1 more rate 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 UE · Used equipment Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | UE · Used equipment | $1,584.89 | $1,584.89 | $1,584.89 |
Where California sits
The same service costs 2.7 times more in Montana than in New Jersey. 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· 38th of 51
$933
MT $2,042NJ $759
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.