How much rates vary
Facilitymedian $316 · 10th to 90th $35 to $955Professionalmedian $282 · 10th to 90th $182 to $537
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 $144.54 Median $158.49 Typical High $158.49 | Facility | None | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $263.03 | Professional | None | $144.54 | $158.49 | $263.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $120.23 Typical High $173.78 | Professional | UE · Used equipment | $107.15 | $120.23 | $173.78 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $562.34 Typical High $1,230.27 | Facility | None | $29.51 | $562.34 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $489.78 | Professional | None | $263.03 | $295.12 | $489.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $29.51 Typical High $51.29 | Professional | RR · Rental | $26.30 | $29.51 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $218.78 Typical High $398.11 | Professional | UE · Used equipment | $194.98 | $218.78 | $398.11 |
Blue Shield Setting Facility Modifier None Typical Low $213.80 Median $691.83 Typical High $1,023.29 | Facility | None | $213.80 | $691.83 | $1,023.29 |
Blue Shield Setting Professional Modifier None Typical Low $186.21 Median $524.81 Typical High $1,548.82 | Professional | None | $186.21 | $524.81 | $1,548.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | None | $295.12 | $295.12 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Facility Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $26.30 | Facility | RR · Rental | $24.55 | $24.55 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $323.59 | Professional | None | $208.93 | $245.47 | $323.59 |
Cigna Setting Professional Modifier RR · Rental Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $20.89 | $24.55 | $24.55 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $446.68 | Professional | None | $371.54 | $446.68 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $562.34 | Professional | None | $281.84 | $331.13 | $562.34 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $63.10 | Professional | RR · Rental | $28.18 | $33.11 | $63.10 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $245.47 Typical High $407.38 | Professional | UE · Used equipment | $213.80 | $245.47 | $407.38 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $537.03 | Facility | None | $158.49 | $245.47 | $537.03 |
Providence Setting Facility Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $30.20 | Facility | RR · Rental | $24.55 | $24.55 | $30.20 |
Providence Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $288.40 | Professional | None | $208.93 | $245.47 | $288.40 |
Providence Setting Professional Modifier RR · Rental Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $20.89 | $24.55 | $24.55 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $74.13 | $74.13 | $74.13 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $870.96 | Professional | None | $154.88 | $199.53 | $870.96 |
United Setting Professional Modifier RR · Rental Typical Low $15.85 Median $20.42 Typical High $114.82 | Professional | RR · Rental | $15.85 | $20.42 | $114.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $154.88 Typical High $870.96 | Professional | UE · Used equipment | $120.23 | $154.88 | $870.96 |
2 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 KU · Bidding program group 3 Typical Low $281.84 Median $331.13 Typical High $537.03 | Professional | KU · Bidding program group 3 | $281.84 | $331.13 | $537.03 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | KU · Bidding program group 3 | $977.24 | $977.24 | $977.24 |
Where California sits
The same service costs 2.7 times more in Hawaii than in Illinois. 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· 31st of 51
$282
HI $490IL $182
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.