How much rates vary
Facilitymedian $50 · 10th to 90th $5 to $129Professionalmedian $39 · 10th to 90th $26 to $74
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $53.70 Typical High $53.70 | Professional | None | $27.54 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $75.86 Typical High $162.18 | Facility | None | $4.79 | $75.86 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $64.57 | Professional | None | $34.67 | $42.66 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.27 Typical High $7.41 | Professional | RR · Rental | $3.47 | $4.27 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $31.62 Typical High $50.12 | Professional | UE · Used equipment | $25.70 | $31.62 | $50.12 |
Blue Shield Setting Facility Modifier None Typical Low $28.18 Median $91.20 Typical High $114.82 | Facility | None | $28.18 | $91.20 | $114.82 |
Blue Shield Setting Professional Modifier None Typical Low $38.02 Median $123.03 Typical High $204.17 | Professional | None | $38.02 | $123.03 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $40.74 | Professional | None | $26.92 | $31.62 | $40.74 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $2.75 | $2.75 | $2.75 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $77.62 | Professional | None | $33.88 | $39.81 | $77.62 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.63 Median $4.27 Typical High $7.24 | Professional | RR · Rental | $3.63 | $4.27 | $7.24 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $30.20 Typical High $48.98 | Professional | UE · Used equipment | $25.70 | $30.20 | $48.98 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $60.26 | Facility | None | $31.62 | $34.67 | $60.26 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $33.88 | Professional | None | $26.92 | $31.62 | $33.88 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $2.75 | $2.75 | $2.75 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $117.49 | Professional | None | $18.62 | $24.55 | $117.49 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.63 Typical High $15.85 | Professional | RR · Rental | $2.24 | $2.63 | $15.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $18.62 Typical High $109.65 | Professional | UE · Used equipment | $15.49 | $18.62 | $109.65 |
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 $33.88 Median $39.81 Typical High $66.07 | Professional | KU · Bidding program group 3 | $33.88 | $39.81 | $66.07 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KU · Bidding program group 3 | $109.65 | $109.65 | $109.65 |
Where California sits
The same service costs 2.9 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· 17th of 51
$38.90
KS $66.07NM $22.91
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.