How much rates vary
Facilitymedian $603 · 10th to 90th $115 to $1,148Professionalmedian $977 · 10th to 90th $603 to $1,148
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $263.03 | $524.81 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $588.84 | Facility | None | $112.20 | $144.54 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Blue Shield Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $114.82 | Professional | None | $46.77 | $70.79 | $114.82 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $0.18 Median $0.24 Typical High $0.39 | Professional | RR · Rental | $0.18 | $0.24 | $0.39 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | RR · Rental | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
HealthNet Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $257.04 | Professional | None | $15.14 | $19.95 | $257.04 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $602.56 Median $1,148.15 Typical High $1,148.15 | Facility | None | $602.56 | $1,148.15 | $1,148.15 |
Providence Setting Facility Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | RR · Rental | $114.82 | $114.82 | $114.82 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Providence Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $467.74 | Professional | None | $281.84 | $416.87 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $43.65 Typical High $46.77 | Professional | RR · Rental | $34.67 | $43.65 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $331.13 Typical High $346.74 | Professional | UE · Used equipment | $263.03 | $331.13 | $346.74 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | NR · New when rented | $912.01 | $912.01 | $912.01 |
Providence Setting Professional Modifier NR · New when rented Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | NR · New when rented | $912.01 | $912.01 | $912.01 |
Where California sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 7th of 51
$977
MN $2,818NE $54.95
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.