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 $181.97 Median $204.17 Typical High $204.17 | Facility | None | $181.97 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $338.84 | Professional | None | $181.97 | $204.17 | $338.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $154.88 Typical High $234.42 | Professional | UE · Used equipment | $138.04 | $154.88 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $741.31 Typical High $1,621.81 | Facility | None | $38.02 | $741.31 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $660.69 | Professional | None | $354.81 | $398.11 | $660.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $39.81 Typical High $67.61 | Professional | RR · Rental | $35.48 | $39.81 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $302.00 Typical High $512.86 | Professional | UE · Used equipment | $269.15 | $302.00 | $512.86 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $1,348.96 | Facility | None | $281.84 | $912.01 | $1,348.96 |
Blue Shield Setting Professional Modifier None Typical Low $269.15 Median $676.08 Typical High $2,041.74 | Professional | None | $269.15 | $676.08 | $2,041.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | None | $389.05 | $389.05 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | RR · Rental | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $436.52 | Professional | None | $281.84 | $331.13 | $436.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $28.18 | $33.11 | $33.11 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $575.44 | Professional | None | $478.63 | $575.44 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $707.95 | Professional | None | $371.54 | $436.52 | $707.95 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $37.15 Median $43.65 Typical High $83.18 | Professional | RR · Rental | $37.15 | $43.65 | $83.18 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $323.59 Typical High $537.03 | Professional | UE · Used equipment | $281.84 | $323.59 | $537.03 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $676.08 | Facility | None | $204.17 | $331.13 | $676.08 |
Providence Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $35.48 | Facility | RR · Rental | $33.11 | $33.11 | $35.48 |
Providence Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | None | $281.84 | $331.13 | $354.81 |
Providence Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $28.18 | $33.11 | $33.11 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | UE · Used equipment | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $1,148.15 | Professional | None | $194.98 | $263.03 | $1,148.15 |
United Setting Professional Modifier RR · Rental Typical Low $20.89 Median $26.30 Typical High $158.49 | Professional | RR · Rental | $20.89 | $26.30 | $158.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $199.53 Typical High $1,174.90 | Professional | UE · Used equipment | $158.49 | $199.53 | $1,174.90 |
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 $371.54 Median $436.52 Typical High $707.95 | Professional | KU · Bidding program group 3 | $371.54 | $436.52 | $707.95 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | KU · Bidding program group 3 | $1,258.93 | $1,258.93 | $1,258.93 |
Where California sits
The same service costs 2.8 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· 35th of 51
$363
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.