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 $309.03 Median $346.74 Typical High $346.74 | Facility | None | $309.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $575.44 | Professional | None | $309.03 | $346.74 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $263.03 Typical High $416.87 | Professional | UE · Used equipment | $234.42 | $263.03 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $1,318.26 Typical High $2,884.03 | Facility | None | $66.07 | $1,318.26 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,148.15 | Professional | None | $630.96 | $691.83 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $63.10 Median $69.18 Typical High $114.82 | Professional | RR · Rental | $63.10 | $69.18 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $524.81 Typical High $891.25 | Professional | UE · Used equipment | $467.74 | $524.81 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $2,398.83 | Facility | None | $501.19 | $1,584.89 | $2,398.83 |
Blue Shield Setting Professional Modifier None Typical Low $436.52 Median $1,148.15 Typical High $3,630.78 | Professional | None | $436.52 | $1,148.15 | $3,630.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | None | $691.83 | $691.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Facility | None | $575.44 | $575.44 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $758.58 | Professional | None | $489.78 | $575.44 | $758.58 |
Cigna 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 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $354.81 | $354.81 | $354.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $977.24 | Professional | None | $812.83 | $977.24 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,122.02 | Professional | None | $645.65 | $741.31 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $64.57 Median $74.13 Typical High $144.54 | Professional | RR · Rental | $64.57 | $74.13 | $144.54 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $562.34 Typical High $933.25 | Professional | UE · Used equipment | $478.63 | $562.34 | $933.25 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $1,148.15 | Facility | None | $346.74 | $575.44 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $616.60 | Professional | None | $489.78 | $575.44 | $616.60 |
Providence 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 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $354.81 | $354.81 | $354.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $2,041.74 | Professional | None | $331.13 | $446.68 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $44.67 Typical High $275.42 | Professional | RR · Rental | $36.31 | $44.67 | $275.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $338.84 Typical High $2,089.30 | Professional | UE · Used equipment | $269.15 | $338.84 | $2,089.30 |
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 $645.65 Median $741.31 Typical High $1,230.27 | Professional | KU · Bidding program group 3 | $645.65 | $741.31 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | KU · Bidding program group 3 | $2,137.96 | $2,137.96 | $2,137.96 |
Where California sits
The same service costs 2.6 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
$631
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.