How much rates vary
Facilitymedian $617 · 10th to 90th $204 to $1,202Professionalmedian $186 · 10th to 90th $151 to $692
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | None | $151.36 | $151.36 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 52 · Reduced service | $75.86 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 53 · Discontinued | $30.20 | $30.20 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $40.74 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $26.92 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $1,230.27 | Facility | None | $218.78 | $616.60 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $537.03 | Professional | None | $302.00 | $489.78 | $537.03 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $537.03 Typical High $891.25 | Facility | None | $218.78 | $537.03 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $407.38 Median $954.99 Typical High $1,584.89 | Professional | None | $407.38 | $954.99 | $1,584.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | None | $275.42 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | None | $371.54 | $371.54 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $537.03 | Professional | None | $338.84 | $338.84 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,818.38 | Professional | None | $2,454.71 | $2,454.71 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $316.23 Typical High $575.44 | Facility | None | $151.36 | $316.23 | $575.44 |
Providence Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Facility | None | $426.58 | $426.58 | $501.19 |
United Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $467.74 | Professional | None | $169.82 | $181.97 | $467.74 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | RR · Rental | $275.42 | $275.42 | $275.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | UE · Used equipment | $204.17 | $204.17 | $204.17 |
Where California sits
The same service costs 4.4 times more in Hawaii 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
$219
HI $776FL $178
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.