How much rates vary
Facilitymedian $40 · 10th to 90th $4 to $129Professionalmedian $36 · 10th to 90th $21 to $74
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 $15.49 Median $17.38 Typical High $17.38 | Facility | None | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $33.11 | Professional | None | $15.49 | $17.38 | $33.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $13.18 Typical High $22.39 | Professional | UE · Used equipment | $11.75 | $13.18 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.31 Median $79.43 Typical High $169.82 | Facility | None | $3.31 | $79.43 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $70.79 | Professional | None | $31.62 | $40.74 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.16 Median $4.07 Typical High $7.41 | Professional | RR · Rental | $3.16 | $4.07 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $30.90 Typical High $56.23 | Professional | UE · Used equipment | $23.44 | $30.90 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $123.03 | Facility | None | $52.48 | $83.18 | $123.03 |
Blue Shield Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $218.78 | Professional | None | $53.70 | $56.23 | $218.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | None | $35.48 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $40.74 | Facility | None | $33.11 | $33.11 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $42.66 | Professional | None | $35.48 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $66.07 | Professional | None | $33.11 | $38.02 | $66.07 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.80 Typical High $7.41 | Professional | RR · Rental | $3.31 | $3.80 | $7.41 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $28.84 Typical High $46.77 | Professional | UE · Used equipment | $24.55 | $28.84 | $46.77 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $33.11 Typical High $57.54 | Facility | None | $19.05 | $33.11 | $57.54 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | None | $28.18 | $33.11 | $35.48 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $123.03 | Professional | None | $19.50 | $25.70 | $123.03 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.57 Typical High $14.13 | Professional | RR · Rental | $2.04 | $2.57 | $14.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $19.05 Typical High $104.71 | Professional | UE · Used equipment | $15.14 | $19.05 | $104.71 |
4 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 KE · Bid item, non-bid base Typical Low $35.48 Median $40.74 Typical High $67.61 | Professional | KE · Bid item, non-bid base | $35.48 | $40.74 | $67.61 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $33.11 Median $38.02 Typical High $63.10 | Professional | KU · Bidding program group 3 | $33.11 | $38.02 | $63.10 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | KE · Bid item, non-bid base | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | KU · Bidding program group 3 | $107.15 | $107.15 | $107.15 |
Where California sits
The same service costs 2.3 times more in Kansas 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· 30th of 51
$36.31
KS $54.95NM $23.99
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.