How much rates vary
Facilitymedian $36 · 10th to 90th $4 to $115Professionalmedian $32 · 10th to 90th $21 to $66
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 $15.49 Median $17.38 Typical High $17.38 | Facility | None | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $29.51 | Professional | None | $15.49 | $17.38 | $29.51 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $13.18 Typical High $20.89 | Professional | UE · Used equipment | $11.75 | $13.18 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.31 Median $69.18 Typical High $147.91 | Facility | None | $3.31 | $69.18 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $61.66 | Professional | None | $31.62 | $36.31 | $61.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.63 Typical High $6.17 | Professional | RR · Rental | $3.16 | $3.63 | $6.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $26.92 Typical High $48.98 | Professional | UE · Used equipment | $23.44 | $26.92 | $48.98 |
Blue Shield Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $117.49 | Facility | None | $46.77 | $81.28 | $117.49 |
Blue Shield Setting Professional Modifier None Typical Low $22.39 Median $56.23 Typical High $190.55 | Professional | None | $22.39 | $56.23 | $190.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $36.31 | Professional | None | $35.48 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Facility Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | RR · Rental | $3.02 | $3.02 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $39.81 | Professional | None | $25.70 | $30.20 | $39.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $2.51 | $3.02 | $3.02 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $17.78 | $17.78 | $17.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $42.66 | Professional | None | $35.48 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $64.57 | Professional | None | $32.36 | $38.02 | $64.57 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.80 Typical High $6.46 | Professional | RR · Rental | $3.24 | $3.80 | $6.46 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $28.18 Typical High $46.77 | Professional | UE · Used equipment | $24.55 | $28.18 | $46.77 |
Providence Setting Facility Modifier None Typical Low $17.78 Median $30.20 Typical High $57.54 | Facility | None | $17.78 | $30.20 | $57.54 |
Providence Setting Facility Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | RR · Rental | $3.02 | $3.02 | $3.02 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | None | $25.70 | $30.20 | $34.67 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $2.51 | $3.02 | $3.02 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $17.78 | $17.78 | $17.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | RR · Rental | $8.71 | $8.71 | $8.71 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | UE · Used equipment | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $107.15 | Professional | None | $16.60 | $22.39 | $107.15 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $2.24 Typical High $14.45 | Professional | RR · Rental | $1.82 | $2.24 | $14.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $16.98 Typical High $107.15 | Professional | UE · Used equipment | $13.49 | $16.98 | $107.15 |
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 $32.36 Median $38.02 Typical High $61.66 | Professional | KU · Bidding program group 3 | $32.36 | $38.02 | $61.66 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | KU · Bidding program group 3 | $104.71 | $104.71 | $104.71 |
Where California sits
The same service costs 2.7 times more in Kansas than in New Mexico. 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· 32nd of 51
$32.36
KS $60.26NM $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.