How much rates vary
Facilitymedian $58 · 10th to 90th $6 to $117Professionalmedian $68 · 10th to 90th $45 to $132
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 $38.90 Median $43.65 Typical High $43.65 | Facility | None | $38.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $66.07 | Professional | None | $38.90 | $43.65 | $66.07 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $33.88 Typical High $43.65 | Professional | UE · Used equipment | $30.20 | $33.88 | $43.65 |
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 $69.18 Typical High $123.03 | Professional | None | $54.95 | $69.18 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $6.92 Typical High $12.59 | Professional | RR · Rental | $5.50 | $6.92 | $12.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $51.29 Typical High $93.33 | Professional | UE · Used equipment | $41.69 | $51.29 | $93.33 |
Blue Shield Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $354.81 | Professional | None | $109.65 | $131.83 | $354.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | None | $48.98 | $57.54 | $77.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $7.59 | Professional | RR · Rental | $6.61 | $6.61 | $7.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | UE · Used equipment | $36.31 | $36.31 | $36.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | None | $91.20 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $138.04 | Professional | None | $69.18 | $79.43 | $138.04 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.76 Median $8.91 Typical High $17.38 | Professional | RR · Rental | $7.76 | $8.91 | $17.38 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $58.88 Typical High $97.72 | Professional | UE · Used equipment | $50.12 | $58.88 | $97.72 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $134.90 | Facility | None | $45.71 | $57.54 | $134.90 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $64.57 | Professional | None | $48.98 | $57.54 | $64.57 |
Providence Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $7.59 | Professional | RR · Rental | $6.61 | $6.61 | $7.59 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | UE · Used equipment | $36.31 | $36.31 | $36.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | RR · Rental | $19.05 | $19.05 | $19.05 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $199.53 | Professional | None | $43.65 | $52.48 | $199.53 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.89 Typical High $32.36 | Professional | RR · Rental | $4.47 | $5.89 | $32.36 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $41.69 Typical High $223.87 | Professional | UE · Used equipment | $33.11 | $41.69 | $223.87 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SC · Medically necessary Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | SC · Medically necessary | $18.62 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier KE · Bid item, non-bid base Typical Low $74.13 Median $87.10 Typical High $141.25 | Professional | KE · Bid item, non-bid base | $74.13 | $87.10 | $141.25 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $69.18 Median $79.43 Typical High $131.83 | Professional | KU · Bidding program group 3 | $69.18 | $79.43 | $131.83 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | KE · Bid item, non-bid base | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | KU · Bidding program group 3 | $251.19 | $251.19 | $251.19 |
Where California sits
The same service costs 3.7 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· 37th of 51
$60.26
HI $166NM $44.67
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.