How much rates vary
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 $416.87 Median $467.74 Typical High $467.74 | Facility | None | $416.87 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $851.14 | Professional | None | $416.87 | $467.74 | $851.14 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $354.81 Typical High $645.65 | Professional | UE · Used equipment | $316.23 | $354.81 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $436.52 | Facility | None | $83.18 | $107.15 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $1,778.28 | Professional | None | $831.76 | $851.14 | $1,778.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $85.11 Typical High $199.53 | Professional | RR · Rental | $83.18 | $85.11 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $630.96 Typical High $1,318.26 | Professional | UE · Used equipment | $602.56 | $630.96 | $1,318.26 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $223.87 Typical High $371.54 | Facility | None | $97.72 | $223.87 | $371.54 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $4.79 Median $13.18 Typical High $21.88 | Professional | RR · Rental | $4.79 | $13.18 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | RR · Rental | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None | $398.11 | $467.74 | $467.74 |
Cigna Setting Professional Modifier RR · Rental Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $39.81 | $46.77 | $46.77 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | UE · Used equipment | $302.00 | $302.00 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $93.33 Median $107.15 Typical High $186.21 | Professional | RR · Rental | $93.33 | $107.15 | $186.21 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $467.74 Typical High $1,548.82 | Facility | None | $154.88 | $467.74 | $1,548.82 |
Providence Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | RR · Rental | $46.77 | $46.77 | $46.77 |
Providence Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None | $398.11 | $467.74 | $467.74 |
Providence Setting Professional Modifier RR · Rental Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $39.81 | $46.77 | $46.77 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | UE · Used equipment | $302.00 | $302.00 | $302.00 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | RR · Rental | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $3,548.13 | Professional | None | $426.58 | $645.65 | $3,548.13 |
United Setting Professional Modifier RR · Rental Typical Low $51.29 Median $64.57 Typical High $371.54 | Professional | RR · Rental | $51.29 | $64.57 | $371.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $478.63 Typical High $2,818.38 | Professional | UE · Used equipment | $363.08 | $478.63 | $2,818.38 |
1 more rate 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 |
|---|---|---|---|---|---|
HealthNet Setting Professional Modifier 98 Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 98 | $77.62 | $77.62 | $77.62 |
Where California sits
The same service costs 15.8 times more in Kansas than in Mississippi. 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
$646
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.