How much rates vary
Facilitymedian $35 · 10th to 90th $6 to $85Professionalmedian $60 · 10th to 90th $31 to $120
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 $27.54 Median $30.90 Typical High $30.90 | Facility | None | $27.54 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $53.70 | Professional | None | $27.54 | $30.90 | $53.70 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $22.91 Typical High $38.02 | Professional | UE · Used equipment | $20.42 | $22.91 | $38.02 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $5.25 | $5.25 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $6.92 Typical High $28.18 | Facility | None | $5.37 | $6.92 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | None | $54.95 | $67.61 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $6.76 Typical High $11.22 | Professional | RR · Rental | $5.50 | $6.76 | $11.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $50.12 Typical High $85.11 | Professional | UE · Used equipment | $41.69 | $50.12 | $85.11 |
Blue Shield Setting Professional Modifier None Typical Low $41.69 Median $100.00 Typical High $346.74 | Professional | None | $41.69 | $100.00 | $346.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None | $66.07 | $66.07 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $74.13 | Facility | None | $35.48 | $35.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | None | $30.20 | $35.48 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | None | $70.79 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $117.49 | Professional | None | $58.88 | $69.18 | $117.49 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $5.89 Median $6.92 Typical High $13.18 | Professional | RR · Rental | $5.89 | $6.92 | $13.18 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $51.29 Typical High $85.11 | Professional | UE · Used equipment | $44.67 | $51.29 | $85.11 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $102.33 | Facility | None | $30.90 | $43.65 | $102.33 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $56.23 | Professional | None | $30.20 | $35.48 | $56.23 |
Providence Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Sutter Health Plus Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | UE · Used equipment | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $194.98 | Professional | None | $30.20 | $39.81 | $194.98 |
United Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.98 Typical High $23.99 | Professional | RR · Rental | $3.16 | $3.98 | $23.99 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $30.20 Typical High $181.97 | Professional | UE · Used equipment | $23.99 | $30.20 | $181.97 |
2 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $58.88 Median $69.18 Typical High $112.20 | Professional | KU · Bidding program group 3 | $58.88 | $69.18 | $112.20 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KU · Bidding program group 3 | $186.21 | $186.21 | $186.21 |
Where California sits
The same service costs 3.2 times more in Hawaii than in Texas. 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· 33rd of 51
$54.95
HI $112TX $35.48
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.