How much rates vary
Facilitymedian $19 · 10th to 90th $2 to $33Professionalmedian $23 · 10th to 90th $14 to $48
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 $10.00 Median $11.22 Typical High $11.22 | Facility | None | $10.00 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $19.95 | Professional | None | $10.00 | $11.22 | $19.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $8.32 Typical High $14.13 | Professional | UE · Used equipment | $7.59 | $8.32 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.00 Median $2.51 Typical High $10.47 | Facility | None | $2.00 | $2.51 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $45.71 | Professional | None | $20.42 | $26.92 | $45.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.69 Typical High $4.57 | Professional | RR · Rental | $2.04 | $2.69 | $4.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $19.95 Typical High $36.31 | Professional | UE · Used equipment | $15.14 | $19.95 | $36.31 |
Blue Shield Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $141.25 | Professional | None | $34.67 | $36.31 | $141.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | None | $25.12 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $28.84 | Professional | None | $18.62 | $21.88 | $28.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | RR · Rental | $1.55 | $1.55 | $1.55 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | UE · Used equipment | $13.80 | $13.80 | $13.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | None | $25.12 | $30.20 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $42.66 | Professional | None | $21.38 | $24.55 | $42.66 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.45 Typical High $4.27 | Professional | RR · Rental | $2.14 | $2.45 | $4.27 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $18.62 Typical High $30.20 | Professional | UE · Used equipment | $15.85 | $18.62 | $30.20 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $21.88 Typical High $37.15 | Facility | None | $12.30 | $21.88 | $37.15 |
Providence Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $23.44 | Professional | None | $18.62 | $21.88 | $23.44 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | RR · Rental | $1.55 | $1.55 | $1.55 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | UE · Used equipment | $13.80 | $13.80 | $13.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $6.31 | $6.31 | $6.31 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | UE · Used equipment | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $79.43 | Professional | None | $12.59 | $16.60 | $79.43 |
United Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.66 Typical High $8.91 | Professional | RR · Rental | $1.29 | $1.66 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $12.30 Typical High $67.61 | Professional | UE · Used equipment | $9.77 | $12.30 | $67.61 |
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 $22.91 Median $26.92 Typical High $43.65 | Professional | KE · Bid item, non-bid base | $22.91 | $26.92 | $43.65 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $21.38 Median $24.55 Typical High $40.74 | Professional | KU · Bidding program group 3 | $21.38 | $24.55 | $40.74 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KE · Bid item, non-bid base | $69.18 | $69.18 | $69.18 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KU · Bidding program group 3 | $69.18 | $69.18 | $69.18 |
Where California sits
The same service costs 2.6 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· 33rd of 51
$21.88
HI $39.81NM $15.49
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.