How much rates vary
Facilitymedian $40 · 10th to 90th $4 to $135Professionalmedian $40 · 10th to 90th $23 to $76
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 $16.98 Median $19.05 Typical High $19.05 | Facility | None | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $31.62 | Professional | None | $16.98 | $19.05 | $31.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $14.13 Typical High $23.44 | Professional | UE · Used equipment | $12.88 | $14.13 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $81.28 Typical High $177.83 | Facility | None | $3.63 | $81.28 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $72.44 | Professional | None | $34.67 | $44.67 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.47 Typical High $10.96 | Professional | RR · Rental | $3.47 | $4.47 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $33.88 Typical High $54.95 | Professional | UE · Used equipment | $25.70 | $33.88 | $54.95 |
Blue Shield Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $128.82 | Facility | None | $51.29 | $77.62 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $229.09 | Professional | None | $50.12 | $53.70 | $229.09 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | None | $30.90 | $36.31 | $38.90 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | UE · Used equipment | $23.44 | $23.44 | $23.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | None | $41.69 | $50.12 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $64.57 | Professional | None | $32.36 | $38.02 | $64.57 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.80 Typical High $6.46 | Professional | RR · Rental | $3.24 | $3.80 | $6.46 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | UE · Used equipment | $23.99 | $28.18 | $46.77 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $36.31 Typical High $53.70 | Facility | None | $20.42 | $36.31 | $53.70 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | None | $30.90 | $36.31 | $36.31 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | UE · Used equipment | $23.44 | $23.44 | $23.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | UE · Used equipment | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $128.82 | Professional | None | $21.38 | $27.54 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.69 Typical High $13.80 | Professional | RR · Rental | $2.19 | $2.69 | $13.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $20.42 Typical High $104.71 | Professional | UE · Used equipment | $16.60 | $20.42 | $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 $34.67 Median $40.74 Typical High $66.07 | Professional | KE · Bid item, non-bid base | $34.67 | $40.74 | $66.07 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $32.36 Median $38.02 Typical High $61.66 | Professional | KU · Bidding program group 3 | $32.36 | $38.02 | $61.66 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | KU · Bidding program group 3 | $100.00 | $100.00 | $100.00 |
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· 28th of 51
$39.81
KS $61.66NM $26.30
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.