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 $1,174.90 Median $1,174.90 Typical High $1,380.38 | Facility | None | $1,174.90 | $1,174.90 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,380.38 | $2,691.53 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $1,023.29 Typical High $1,995.26 | Professional | UE · Used equipment | $891.25 | $1,023.29 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $5,011.87 Typical High $11,748.98 | Facility | None | $194.98 | $5,011.87 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $10,715.19 | Professional | None | $1,412.54 | $1,862.09 | $10,715.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $186.21 Median $223.87 Typical High $1,698.24 | Professional | RR · Rental | $186.21 | $223.87 | $1,698.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,412.54 Typical High $8,128.31 | Professional | UE · Used equipment | $1,047.13 | $1,412.54 | $8,128.31 |
Blue Shield Setting Facility Modifier None Typical Low $173.78 Median $3,890.45 Typical High $7,079.46 | Facility | None | $173.78 | $3,890.45 | $7,079.46 |
Blue Shield Setting Professional Modifier None Typical Low $6,025.60 Median $9,332.54 Typical High $13,803.84 | Professional | None | $6,025.60 | $9,332.54 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $4,466.84 Typical High $10,471.29 | Professional | None | $3,388.44 | $4,466.84 | $10,471.29 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $537.03 Median $707.95 Typical High $1,659.59 | Professional | RR · Rental | $537.03 | $707.95 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $3,388.44 Typical High $7,762.47 | Professional | UE · Used equipment | $2,511.89 | $3,388.44 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $3,715.35 | Professional | None | $575.44 | $575.44 | $3,715.35 |
Providence Setting Facility Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $3,981.07 | Facility | None | $1,380.38 | $1,949.84 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $1,288.25 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,288.25 | $3,715.35 | $3,715.35 |
Providence Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | RR · Rental | $1,096.48 | $1,096.48 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | UE · Used equipment | $5,128.61 | $5,128.61 | $5,128.61 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $11,748.98 | Professional | None | $2,137.96 | $3,630.78 | $11,748.98 |
United Setting Professional Modifier RR · Rental Typical Low $363.08 Median $616.60 Typical High $1,862.09 | Professional | RR · Rental | $363.08 | $616.60 | $1,862.09 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $2,951.21 Typical High $8,912.51 | Professional | UE · Used equipment | $1,698.24 | $2,951.21 | $8,912.51 |
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 |
|---|---|---|---|---|---|
Sutter Health Plus Setting Professional Modifier MS · Maintenance fee Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | MS · Maintenance fee | $549.54 | $549.54 | $549.54 |
Where California sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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· 11th of 51
$3,388
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.