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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $79.43 | Professional | RR · Rental | $10.00 | $10.00 | $79.43 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $109.65 Typical High $147.91 | Professional | UE · Used equipment | $83.18 | $109.65 | $147.91 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $16.60 Median $19.95 Typical High $23.99 | Professional | RR · Rental | $16.60 | $19.95 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $93.33 | Facility | None | $17.78 | $22.91 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $501.19 | Professional | None | $147.91 | $181.97 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.79 Median $18.20 Typical High $50.12 | Professional | RR · Rental | $14.79 | $18.20 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $138.04 Typical High $354.81 | Professional | UE · Used equipment | $109.65 | $138.04 | $354.81 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $44.67 Typical High $74.13 | Facility | None | $28.84 | $44.67 | $74.13 |
Blue Shield Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $309.03 | Professional | None | $125.89 | $199.53 | $309.03 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $1.00 Median $1.58 Typical High $2.63 | Professional | RR · Rental | $1.00 | $1.58 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $16.98 | Facility | None | $14.79 | $14.79 | $16.98 |
Cigna Setting Facility Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $25.12 | Facility | RR · Rental | $14.79 | $14.79 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
HealthNet Setting Professional Modifier RR · Rental Typical Low $14.13 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $14.13 | $128.82 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $26.92 Median $31.62 Typical High $57.54 | Professional | RR · Rental | $26.92 | $31.62 | $57.54 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $138.04 | $158.49 | $158.49 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
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 $14.79 Median $46.77 Typical High $177.83 | Facility | None | $14.79 | $46.77 | $177.83 |
Providence Setting Facility Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $21.38 | Facility | RR · Rental | $14.79 | $14.79 | $21.38 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | None | $107.15 | $107.15 | $125.89 |
Providence Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $131.83 | Professional | None | $11.75 | $11.75 | $131.83 |
United Setting Professional Modifier RR · Rental Typical Low $11.75 Median $23.99 Typical High $85.11 | Professional | RR · Rental | $11.75 | $23.99 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $169.82 Typical High $263.03 | Professional | UE · Used equipment | $61.66 | $169.82 | $263.03 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | MS · Maintenance fee | $10.00 | $10.00 | $10.00 |
Where California sits
The same service costs 12.3 times more in Wyoming 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· 10th of 51
$141
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.