How much rates vary
Facilitymedian $14 · 10th to 90th $1 to $42Professionalmedian $12 · 10th to 90th $8 to $24
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 $6.31 Median $7.08 Typical High $7.08 | Facility | None | $6.31 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $10.96 | Professional | None | $6.31 | $7.08 | $10.96 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.72 Median $0.72 Typical High $0.76 | Professional | RR · Rental | $0.72 | $0.72 | $0.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.68 Median $5.25 Typical High $7.59 | Professional | UE · Used equipment | $4.68 | $5.25 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | None | $14.13 | $14.13 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.15 Median $25.12 Typical High $53.70 | Facility | None | $1.15 | $25.12 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $23.44 | Professional | None | $10.96 | $13.18 | $23.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.32 Typical High $2.34 | Professional | RR · Rental | $1.10 | $1.32 | $2.34 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $10.00 Typical High $17.78 | Professional | UE · Used equipment | $8.32 | $10.00 | $17.78 |
Blue Shield Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $45.71 | Facility | None | $19.05 | $30.90 | $45.71 |
Blue Shield Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $69.18 | Professional | None | $16.22 | $21.88 | $69.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | None | $13.18 | $13.18 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Facility | None | $10.96 | $10.96 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $16.60 | Professional | None | $9.33 | $10.96 | $16.60 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $1.45 | Professional | RR · Rental | $0.98 | $0.98 | $1.45 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | UE · Used equipment | $6.92 | $6.92 | $6.92 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | None | $16.22 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $24.55 | Professional | None | $12.30 | $14.45 | $24.55 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.45 Typical High $2.82 | Professional | RR · Rental | $1.26 | $1.45 | $2.82 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $10.72 Typical High $17.78 | Professional | UE · Used equipment | $9.12 | $10.72 | $17.78 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $10.96 Typical High $23.44 | Facility | None | $7.59 | $10.96 | $23.44 |
Providence Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $14.13 | Professional | None | $9.33 | $10.96 | $14.13 |
Providence Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $1.35 | Professional | RR · Rental | $0.98 | $0.98 | $1.35 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | UE · Used equipment | $6.92 | $6.92 | $6.92 |
Sutter Health Plus Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | RR · Rental | $3.31 | $3.31 | $3.31 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | UE · Used equipment | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $38.90 | Professional | None | $7.76 | $9.12 | $38.90 |
United Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.95 Typical High $5.62 | Professional | RR · Rental | $0.79 | $0.95 | $5.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $6.92 Typical High $41.69 | Professional | UE · Used equipment | $5.89 | $6.92 | $41.69 |
5 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 $0.72 Median $0.72 Typical High $0.72 | Professional | MS · Maintenance fee | $0.72 | $0.72 | $0.72 |
Kaiser Permanente Setting Professional Modifier KE · Bid item, non-bid base Typical Low $13.18 Median $15.49 Typical High $25.70 | Professional | KE · Bid item, non-bid base | $13.18 | $15.49 | $25.70 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $12.30 Median $14.45 Typical High $23.44 | Professional | KU · Bidding program group 3 | $12.30 | $14.45 | $23.44 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | KE · Bid item, non-bid base | $38.02 | $38.02 | $38.02 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KU · Bidding program group 3 | $42.66 | $42.66 | $42.66 |
Where California sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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· 34th of 51
$12.30
HI $38.90NM $7.76
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.