How much rates vary
Facilitymedian $81 · 10th to 90th $9 to $263Professionalmedian $79 · 10th to 90th $48 to $148
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 $38.02 Median $41.69 Typical High $41.69 | Facility | None | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $63.10 | Professional | None | $38.02 | $41.69 | $63.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $31.62 Typical High $46.77 | Professional | UE · Used equipment | $28.18 | $31.62 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $158.49 Typical High $346.74 | Facility | None | $7.94 | $158.49 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $144.54 | Professional | None | $75.86 | $89.13 | $144.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.59 Median $8.91 Typical High $14.45 | Professional | RR · Rental | $7.59 | $8.91 | $14.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $67.61 Typical High $107.15 | Professional | UE · Used equipment | $57.54 | $67.61 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $169.82 Typical High $245.47 | Facility | None | $97.72 | $169.82 | $245.47 |
Blue Shield Setting Professional Modifier None Typical Low $52.48 Median $117.49 Typical High $436.52 | Professional | None | $52.48 | $117.49 | $436.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $83.18 | Professional | None | $81.28 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $81.28 | Facility | None | $72.44 | $72.44 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | None | $61.66 | $72.44 | $95.50 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | None | $81.28 | $97.72 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $141.25 | Professional | None | $70.79 | $83.18 | $141.25 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.41 Median $8.71 Typical High $14.79 | Professional | RR · Rental | $7.41 | $8.71 | $14.79 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $61.66 Typical High $102.33 | Professional | UE · Used equipment | $53.70 | $61.66 | $102.33 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $72.44 Typical High $117.49 | Facility | None | $41.69 | $72.44 | $117.49 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | None | $61.66 | $72.44 | $77.62 |
Providence Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $19.95 | $19.95 | $19.95 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | UE · Used equipment | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $245.47 | Professional | None | $40.74 | $53.70 | $245.47 |
United Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.75 Typical High $24.55 | Professional | RR · Rental | $4.37 | $5.75 | $24.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $40.74 Typical High $186.21 | Professional | UE · Used equipment | $30.90 | $40.74 | $186.21 |
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 $70.79 Median $83.18 Typical High $138.04 | Professional | KU · Bidding program group 3 | $70.79 | $83.18 | $138.04 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | KU · Bidding program group 3 | $218.78 | $218.78 | $218.78 |
Where California sits
The same service costs 2.6 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
$79.43
KS $135NM $51.29
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.