How much rates vary
Facilitymedian $52 · 10th to 90th $36 to $295Professionalmedian $389 · 10th to 90th $23 to $813
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | None | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $208.93 Typical High $309.03 | Professional | UE · Used equipment | $165.96 | $208.93 | $309.03 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | RR · Rental | $33.88 | $33.88 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $199.53 | Facility | None | $38.02 | $47.86 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None | $257.04 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.70 Median $38.90 Typical High $66.07 | Professional | RR · Rental | $25.70 | $38.90 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $194.98 | $288.40 | $288.40 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $131.83 | Facility | None | $56.23 | $87.10 | $131.83 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.09 Typical High $5.89 | Professional | RR · Rental | $2.00 | $3.09 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $60.26 | Facility | None | $41.69 | $41.69 | $60.26 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | RR · Rental | $34.67 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
HealthNet Setting Professional Modifier RR · Rental Typical Low $33.88 Median $38.02 Typical High $100.00 | Professional | RR · Rental | $33.88 | $38.02 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $630.96 Typical High $831.76 | Professional | None | $31.62 | $630.96 | $831.76 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $93.33 | Professional | RR · Rental | $43.65 | $51.29 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $251.19 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $251.19 | $371.54 | $371.54 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $67.61 Typical High $354.81 | Facility | None | $30.90 | $67.61 | $354.81 |
Providence Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | RR · Rental | $34.67 | $34.67 | $34.67 |
Providence Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Providence Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $51.29 | Professional | None | $22.91 | $23.44 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $38.90 Typical High $85.11 | Professional | RR · Rental | $22.91 | $38.90 | $85.11 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier MS · Maintenance fee Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | MS · Maintenance fee | $44.67 | $44.67 | $44.67 |
Where California sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 7th of 51
$389
VT $813HI $22.39
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.