How much rates vary
Facilitymedian $102 · 10th to 90th $11 to $339Professionalmedian $95 · 10th to 90th $60 to $191
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 $43.65 Median $48.98 Typical High $48.98 | Facility | None | $43.65 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $83.18 | Professional | None | $43.65 | $48.98 | $83.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $36.31 Typical High $61.66 | Professional | UE · Used equipment | $32.36 | $36.31 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $199.53 Typical High $436.52 | Facility | None | $9.12 | $199.53 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $190.55 | Professional | None | $87.10 | $107.15 | $190.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.71 Median $10.72 Typical High $19.05 | Professional | RR · Rental | $8.71 | $10.72 | $19.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | UE · Used equipment | $64.57 | $81.28 | $138.04 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $331.13 | Facility | None | $97.72 | $229.09 | $331.13 |
Blue Shield Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $549.54 | Professional | None | $147.91 | $158.49 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $95.50 | Facility | None | $89.13 | $89.13 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $102.33 | Professional | None | $74.13 | $89.13 | $102.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | RR · Rental | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | UE · Used equipment | $56.23 | $56.23 | $56.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | None | $123.03 | $147.91 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $186.21 | Professional | None | $93.33 | $109.65 | $186.21 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $9.33 Median $10.96 Typical High $20.89 | Professional | RR · Rental | $9.33 | $10.96 | $20.89 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $81.28 Typical High $134.90 | Professional | UE · Used equipment | $70.79 | $81.28 | $134.90 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $162.18 | Facility | None | $50.12 | $89.13 | $162.18 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | None | $74.13 | $89.13 | $89.13 |
Providence Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | RR · Rental | $6.61 | $6.61 | $6.61 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | UE · Used equipment | $56.23 | $56.23 | $56.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $309.03 | Professional | None | $53.70 | $70.79 | $309.03 |
United Setting Professional Modifier RR · Rental Typical Low $5.62 Median $7.24 Typical High $41.69 | Professional | RR · Rental | $5.62 | $7.24 | $41.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $53.70 Typical High $316.23 | Professional | UE · Used equipment | $41.69 | $53.70 | $316.23 |
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 $100.00 Median $117.49 Typical High $190.55 | Professional | KE · Bid item, non-bid base | $100.00 | $117.49 | $190.55 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $93.33 Median $109.65 Typical High $177.83 | Professional | KU · Bidding program group 3 | $93.33 | $109.65 | $177.83 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | KE · Bid item, non-bid base | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | KU · Bidding program group 3 | $295.12 | $295.12 | $295.12 |
Where California sits
The same service costs 3.4 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· 32nd of 51
$95.50
KS $224NM $66.07
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.