How much rates vary
Facilitymedian $19 · 10th to 90th $2 to $65Professionalmedian $19 · 10th to 90th $11 to $37
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 $8.13 Median $8.91 Typical High $8.91 | Facility | None | $8.13 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $15.85 | Professional | None | $8.13 | $8.91 | $15.85 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6.03 Median $6.76 Typical High $11.75 | Professional | UE · Used equipment | $6.03 | $6.76 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.74 Median $38.90 Typical High $83.18 | Facility | None | $1.74 | $38.90 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $33.88 | Professional | None | $16.22 | $20.89 | $33.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.09 Typical High $3.39 | Professional | RR · Rental | $1.62 | $2.09 | $3.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $15.85 Typical High $26.92 | Professional | UE · Used equipment | $12.30 | $15.85 | $26.92 |
Blue Shield Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $61.66 | Facility | None | $25.70 | $43.65 | $61.66 |
Blue Shield Setting Professional Modifier None Typical Low $12.88 Median $29.51 Typical High $107.15 | Professional | None | $12.88 | $29.51 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | None | $19.95 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $18.62 | Professional | None | $14.79 | $17.38 | $18.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | RR · Rental | $1.20 | $1.20 | $1.20 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $23.99 | Professional | None | $19.95 | $23.99 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $35.48 | Professional | None | $17.78 | $20.89 | $35.48 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.09 Typical High $3.55 | Professional | RR · Rental | $1.78 | $2.09 | $3.55 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $15.85 Typical High $25.70 | Professional | UE · Used equipment | $13.49 | $15.85 | $25.70 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $17.38 Typical High $30.20 | Facility | None | $8.91 | $17.38 | $30.20 |
Providence Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $17.38 | Professional | None | $14.79 | $17.38 | $17.38 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | RR · Rental | $1.20 | $1.20 | $1.20 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | RR · Rental | $4.79 | $4.79 | $4.79 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | UE · Used equipment | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $60.26 | Professional | None | $9.55 | $12.88 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $0.95 Median $1.26 Typical High $7.59 | Professional | RR · Rental | $0.95 | $1.26 | $7.59 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.24 Median $9.55 Typical High $58.88 | Professional | UE · Used equipment | $7.24 | $9.55 | $58.88 |
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 $17.78 Median $20.89 Typical High $34.67 | Professional | KU · Bidding program group 3 | $17.78 | $20.89 | $34.67 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KU · Bidding program group 3 | $54.95 | $54.95 | $54.95 |
Where California sits
The same service costs 3.1 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· 29th of 51
$19.05
KS $36.31NM $11.75
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.