How much rates vary
Facilitymedian $48 · 10th to 90th $5 to $145Professionalmedian $44 · 10th to 90th $30 to $72
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 $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | None | $30.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $22.39 | $29.51 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $85.11 Typical High $181.97 | Facility | None | $4.79 | $85.11 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $69.18 | Professional | None | $38.90 | $44.67 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $4.47 Typical High $6.92 | Professional | RR · Rental | $3.89 | $4.47 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $33.88 Typical High $51.29 | Professional | UE · Used equipment | $28.84 | $33.88 | $51.29 |
Blue Shield Setting Facility Modifier None Typical Low $31.62 Median $102.33 Typical High $131.83 | Facility | None | $31.62 | $102.33 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $66.07 Median $141.25 Typical High $234.42 | Professional | None | $66.07 | $141.25 | $234.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | None | $44.67 | $44.67 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Facility | None | $36.31 | $36.31 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $47.86 | Professional | None | $30.90 | $36.31 | $47.86 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | None | $58.88 | $70.79 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $87.10 | Professional | None | $38.90 | $44.67 | $87.10 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.79 Typical High $8.32 | Professional | RR · Rental | $4.07 | $4.79 | $8.32 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $33.88 Typical High $54.95 | Professional | UE · Used equipment | $28.84 | $33.88 | $54.95 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $67.61 | Facility | None | $36.31 | $38.90 | $67.61 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | None | $30.90 | $36.31 | $38.90 |
Providence Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Sutter Health Plus Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | RR · Rental | $10.96 | $10.96 | $10.96 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | UE · Used equipment | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $131.83 | Professional | None | $20.89 | $27.54 | $131.83 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.02 Typical High $18.20 | Professional | RR · Rental | $2.51 | $3.02 | $18.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $20.89 Typical High $125.89 | Professional | UE · Used equipment | $17.38 | $20.89 | $125.89 |
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 $38.90 Median $44.67 Typical High $74.13 | Professional | KU · Bidding program group 3 | $38.90 | $44.67 | $74.13 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KU · Bidding program group 3 | $125.89 | $125.89 | $125.89 |
Where California sits
The same service costs 2.5 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· 25th of 51
$43.65
KS $64.57NM $25.70
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.