How much rates vary
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 $15.85 Median $17.38 Typical High $18.20 | Facility | None | $15.85 | $17.38 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $23.99 | Professional | None | $15.85 | $17.38 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $23.99 Typical High $97.72 | Facility | None | $19.05 | $23.99 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $363.08 | Professional | None | $38.90 | $58.88 | $363.08 |
Blue Shield Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $169.82 | Professional | None | $53.70 | $102.33 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $54.95 | Professional | None | $40.74 | $44.67 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $120.23 | Professional | None | $36.31 | $44.67 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None | $204.17 | $204.17 | $309.03 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $40.74 | Facility | None | $17.38 | $35.48 | $40.74 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $50.12 | Professional | None | $20.89 | $20.89 | $50.12 |
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 $4.07 Median $31.62 Typical High $38.02 | Professional | RR · Rental | $4.07 | $31.62 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $30.90 Typical High $288.40 | Professional | UE · Used equipment | $25.12 | $30.90 | $288.40 |
Where California sits
The same service costs 14.5 times more in New York than in Utah. 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· 21st of 51
$33.88
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.