How much rates vary
Facilitymedian $62 · 10th to 90th $8 to $110Professionalmedian $74 · 10th to 90th $45 to $145
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 $36.31 Median $40.74 Typical High $40.74 | Facility | None | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $63.10 | Professional | None | $36.31 | $40.74 | $63.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $30.90 Typical High $45.71 | Professional | UE · Used equipment | $27.54 | $30.90 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $9.12 Typical High $38.02 | Facility | None | $7.24 | $9.12 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $138.04 | Professional | None | $69.18 | $75.86 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.92 Median $7.59 Typical High $13.80 | Professional | RR · Rental | $6.92 | $7.59 | $13.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $57.54 Typical High $109.65 | Professional | UE · Used equipment | $51.29 | $57.54 | $109.65 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $131.83 Typical High $416.87 | Professional | None | $50.12 | $131.83 | $416.87 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | None | $77.62 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | None | $56.23 | $66.07 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $7.76 | Professional | RR · Rental | $5.37 | $5.37 | $7.76 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $93.33 | Professional | None | $77.62 | $93.33 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $144.54 | Professional | None | $72.44 | $85.11 | $144.54 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.24 Median $8.32 Typical High $16.22 | Professional | RR · Rental | $7.24 | $8.32 | $16.22 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $64.57 Typical High $104.71 | Professional | UE · Used equipment | $54.95 | $64.57 | $104.71 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $134.90 | Facility | None | $40.74 | $66.07 | $134.90 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $75.86 | Professional | None | $56.23 | $66.07 | $75.86 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $8.32 | Professional | RR · Rental | $5.37 | $5.37 | $8.32 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | RR · Rental | $19.50 | $19.50 | $19.50 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | UE · Used equipment | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $234.42 | Professional | None | $38.90 | $52.48 | $234.42 |
United Setting Professional Modifier RR · Rental Typical Low $3.89 Median $5.13 Typical High $30.20 | Professional | RR · Rental | $3.89 | $5.13 | $30.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $38.90 Typical High $229.09 | Professional | UE · Used equipment | $30.20 | $38.90 | $229.09 |
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 $72.44 Median $85.11 Typical High $141.25 | Professional | KU · Bidding program group 3 | $72.44 | $85.11 | $141.25 |
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 3.5 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· 27th of 51
$72.44
HI $170NM $47.86
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.