How much rates vary
Facilitymedian $16 · 10th to 90th $1 to $37Professionalmedian $7 · 10th to 90th $4 to $71
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 $3.80 Median $4.27 Typical High $4.27 | Facility | None | $3.80 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $8.32 | Professional | None | $4.27 | $4.27 | $8.32 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.39 Median $0.44 Typical High $0.44 | Professional | RR · Rental | $0.39 | $0.44 | $0.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $3.16 Typical High $5.62 | Professional | UE · Used equipment | $3.16 | $3.16 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.71 Median $18.62 Typical High $40.74 | Facility | None | $0.71 | $18.62 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $16.60 | Professional | None | $4.68 | $6.76 | $16.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.47 Median $0.68 Typical High $1.70 | Professional | RR · Rental | $0.47 | $0.68 | $1.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.13 Typical High $12.02 | Professional | UE · Used equipment | $3.47 | $5.13 | $12.02 |
Blue Shield Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $29.51 | Facility | None | $11.75 | $17.78 | $29.51 |
Blue Shield Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $45.71 | Professional | None | $14.13 | $22.39 | $45.71 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $0.05 Median $0.08 Typical High $0.15 | Professional | RR · Rental | $0.05 | $0.08 | $0.15 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $128.82 | Professional | None | $11.22 | $15.49 | $128.82 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.51 Typical High $3.31 | Professional | RR · Rental | $1.12 | $1.51 | $3.31 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $10.72 Typical High $24.55 | Professional | UE · Used equipment | $8.32 | $10.72 | $24.55 |
Lucent Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | None | $70.79 | $70.79 | $91.20 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $9.33 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $9.33 | $19.95 | $19.95 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $4.27 Median $11.22 Typical High $12.30 | Facility | None | $4.27 | $11.22 | $12.30 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Providence Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Sutter Health Plus Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | RR · Rental | $2.29 | $2.29 | $2.29 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | UE · Used equipment | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $14.79 | Professional | None | $5.50 | $5.89 | $14.79 |
United Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.62 Typical High $1.55 | Professional | RR · Rental | $0.56 | $0.62 | $1.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.17 Median $4.47 Typical High $11.22 | Professional | UE · Used equipment | $4.17 | $4.47 | $11.22 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.39 Median $0.44 Typical High $0.44 | Professional | MS · Maintenance fee | $0.39 | $0.44 | $0.44 |
Where California sits
The same service costs 11.2 times more in Minnesota 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· 49th of 51
$6.76
MN $15.14IL $1.35
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.