How much rates vary
Facilitymedian $81 · 10th to 90th $9 to $240Professionalmedian $74 · 10th to 90th $48 to $141
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 $38.90 Median $43.65 Typical High $43.65 | Facility | None | $38.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $69.18 | Professional | None | $38.90 | $43.65 | $69.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $33.11 Typical High $45.71 | Professional | UE · Used equipment | $29.51 | $33.11 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $141.25 Typical High $302.00 | Facility | None | $7.41 | $141.25 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $134.90 | Professional | None | $64.57 | $74.13 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $7.41 Typical High $13.49 | Professional | RR · Rental | $6.46 | $7.41 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $54.95 Typical High $100.00 | Professional | UE · Used equipment | $48.98 | $54.95 | $100.00 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $275.42 | Facility | None | $95.50 | $173.78 | $275.42 |
Blue Shield Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $389.05 | Professional | None | $120.23 | $141.25 | $389.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None | $51.29 | $60.26 | $81.28 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | None | $97.72 | $117.49 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $165.96 | Professional | None | $74.13 | $85.11 | $165.96 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.41 Median $8.51 Typical High $33.11 | Professional | RR · Rental | $7.41 | $8.51 | $33.11 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $64.57 Typical High $107.15 | Professional | UE · Used equipment | $54.95 | $64.57 | $107.15 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $144.54 | Facility | None | $45.71 | $60.26 | $144.54 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $75.86 | Professional | None | $51.29 | $60.26 | $75.86 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
Sutter Health Plus Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | RR · Rental | $19.05 | $19.05 | $19.05 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $218.78 | Professional | None | $47.86 | $54.95 | $218.78 |
United Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.75 Typical High $33.11 | Professional | RR · Rental | $4.79 | $5.75 | $33.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $43.65 Typical High $245.47 | Professional | UE · Used equipment | $35.48 | $43.65 | $245.47 |
4 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 KE · Bid item, non-bid base Typical Low $79.43 Median $93.33 Typical High $154.88 | Professional | KE · Bid item, non-bid base | $79.43 | $93.33 | $154.88 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $74.13 Median $85.11 Typical High $141.25 | Professional | KU · Bidding program group 3 | $74.13 | $85.11 | $141.25 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | KE · Bid item, non-bid base | $229.09 | $229.09 | $229.09 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | KU · Bidding program group 3 | $263.03 | $263.03 | $263.03 |
Where California sits
The same service costs 2.9 times more in Hawaii 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· 33rd of 51
$74.13
HI $138NM $47.86
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.