How much rates vary
Facilitymedian $42 · 10th to 90th $18 to $257Professionalmedian $148 · 10th to 90th $23 to $302
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 $208.93 | Professional | None | $144.54 | $144.54 | $208.93 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $87.10 | Professional | RR · Rental | $10.00 | $10.00 | $87.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $190.55 Typical High $309.03 | Professional | UE · Used equipment | $95.50 | $190.55 | $309.03 |
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 $51.29 | Professional | RR · Rental | $14.79 | $18.20 | $51.29 |
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 $37.15 Median $58.88 Typical High $97.72 | Facility | None | $37.15 | $58.88 | $97.72 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.16 Typical High $5.89 | Professional | RR · Rental | $2.00 | $3.16 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | RR · Rental | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $562.34 Typical High $691.83 | Professional | None | $21.88 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
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 $43.65 Median $51.29 Typical High $93.33 | Professional | RR · Rental | $43.65 | $51.29 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $54.95 | Professional | None | $38.02 | $38.02 | $54.95 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $251.19 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $251.19 | $371.54 | $371.54 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
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 $15.14 Median $60.26 Typical High $346.74 | Facility | None | $15.14 | $60.26 | $346.74 |
Providence Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | RR · Rental | $30.90 | $30.90 | $30.90 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $79.43 | Professional | None | $35.48 | $45.71 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $50.12 | Professional | None | $17.38 | $22.91 | $50.12 |
United Setting Professional Modifier RR · Rental Typical Low $17.78 Median $23.99 Typical High $85.11 | Professional | RR · Rental | $17.78 | $23.99 | $85.11 |
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 29.5 times more in Wyoming than in Oklahoma. 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· 18th of 51
$148
WY $676OK $22.91
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.