How much rates vary
Facilitymedian $42 · 10th to 90th $4 to $132Professionalmedian $39 · 10th to 90th $23 to $76
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 $16.60 Median $18.62 Typical High $18.62 | Facility | None | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $33.11 | Professional | None | $16.60 | $18.62 | $33.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $13.80 Typical High $24.55 | Professional | UE · Used equipment | $12.59 | $13.80 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.55 Median $79.43 Typical High $173.78 | Facility | None | $3.55 | $79.43 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $72.44 | Professional | None | $33.88 | $43.65 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.39 Median $4.37 Typical High $7.24 | Professional | RR · Rental | $3.39 | $4.37 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $32.36 Typical High $51.29 | Professional | UE · Used equipment | $25.12 | $32.36 | $51.29 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $125.89 | Facility | None | $52.48 | $87.10 | $125.89 |
Blue Shield Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $218.78 | Professional | None | $56.23 | $60.26 | $218.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | None | $41.69 | $41.69 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | None | $30.20 | $35.48 | $46.77 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | None | $42.66 | $51.29 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $72.44 | Professional | None | $36.31 | $42.66 | $72.44 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.63 Median $4.27 Typical High $8.32 | Professional | RR · Rental | $3.63 | $4.27 | $8.32 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $31.62 Typical High $52.48 | Professional | UE · Used equipment | $27.54 | $31.62 | $52.48 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $35.48 Typical High $60.26 | Facility | None | $18.62 | $35.48 | $60.26 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $40.74 | Professional | None | $30.20 | $35.48 | $40.74 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
Sutter Health Plus Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | UE · Used equipment | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $123.03 | Professional | None | $19.95 | $26.30 | $123.03 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.63 Typical High $15.85 | Professional | RR · Rental | $2.00 | $2.63 | $15.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $19.50 Typical High $117.49 | Professional | UE · Used equipment | $14.79 | $19.50 | $117.49 |
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 $36.31 Median $42.66 Typical High $69.18 | Professional | KU · Bidding program group 3 | $36.31 | $42.66 | $69.18 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KU · Bidding program group 3 | $112.20 | $112.20 | $112.20 |
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· 30th of 51
$38.90
KS $64.57NM $23.99
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.