How much rates vary
Facilitymedian $33 · 10th to 90th $2 to $105Professionalmedian $25 · 10th to 90th $16 to $302
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 $10.96 Median $12.02 Typical High $28.18 | Facility | None | $10.96 | $12.02 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $28.18 | Professional | None | $12.02 | $21.88 | $28.18 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.24 Typical High $3.02 | Professional | RR · Rental | $2.24 | $2.24 | $3.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | UE · Used equipment | $18.62 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.00 Median $61.66 Typical High $131.83 | Facility | None | $2.00 | $61.66 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | None | $19.05 | $19.05 | $19.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.91 Median $1.91 Typical High $1.95 | Professional | RR · Rental | $1.91 | $1.91 | $1.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | UE · Used equipment | $14.13 | $14.13 | $14.79 |
Blue Shield Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $97.72 | Facility | None | $38.90 | $58.88 | $97.72 |
Blue Shield Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $147.91 | Professional | None | $44.67 | $74.13 | $147.91 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $33.88 | Professional | None | $32.36 | $33.11 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.88 Median $25.12 Typical High $25.12 | Facility | RR · Rental | $2.88 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $44.67 | Professional | None | $33.11 | $40.74 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $81.28 | Professional | None | $28.18 | $40.74 | $81.28 |
Lucent Health Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $338.84 | Professional | None | $208.93 | $302.00 | $338.84 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $19.50 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $19.50 | $28.84 | $28.84 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $47.86 | Facility | None | $25.12 | $28.18 | $47.86 |
Providence Setting Facility Modifier RR · Rental Typical Low $2.95 Median $25.12 Typical High $25.12 | Facility | RR · Rental | $2.95 | $25.12 | $25.12 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Sutter Health Plus Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $48.98 | Professional | None | $15.85 | $18.20 | $48.98 |
United Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.74 Typical High $3.98 | Professional | RR · Rental | $1.32 | $1.74 | $3.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $13.80 Typical High $29.51 | Professional | UE · Used equipment | $10.47 | $13.80 | $29.51 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.24 Median $2.24 Typical High $3.02 | Professional | MS · Maintenance fee | $2.24 | $2.24 | $3.02 |
Where California sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 26th of 51
$24.55
HI $42.66RI $16.22
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.