How much rates vary
Facilitymedian $35 · 10th to 90th $4 to $115Professionalmedian $33 · 10th to 90th $20 to $66
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 $14.45 Median $16.22 Typical High $16.22 | Facility | None | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $28.18 | Professional | None | $14.45 | $16.22 | $28.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $12.30 Typical High $21.38 | Professional | UE · Used equipment | $10.96 | $12.30 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $69.18 Typical High $147.91 | Facility | None | $3.09 | $69.18 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $58.88 | Professional | None | $29.51 | $37.15 | $58.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.72 Typical High $5.89 | Professional | RR · Rental | $2.95 | $3.72 | $5.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $28.18 Typical High $47.86 | Professional | UE · Used equipment | $21.88 | $28.18 | $47.86 |
Blue Shield Setting Facility Modifier None Typical Low $45.71 Median $77.62 Typical High $112.20 | Facility | None | $45.71 | $77.62 | $112.20 |
Blue Shield Setting Professional Modifier None Typical Low $22.91 Median $52.48 Typical High $190.55 | Professional | None | $22.91 | $52.48 | $190.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | None | $36.31 | $36.31 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $39.81 | Facility | None | $30.90 | $30.90 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $39.81 | Professional | None | $26.30 | $30.90 | $39.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $2.19 | $2.19 | $2.19 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | UE · Used equipment | $16.60 | $16.60 | $16.60 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | None | $38.02 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $64.57 | Professional | None | $31.62 | $37.15 | $64.57 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.72 Typical High $7.24 | Professional | RR · Rental | $3.24 | $3.72 | $7.24 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $28.18 Typical High $45.71 | Professional | UE · Used equipment | $23.99 | $28.18 | $45.71 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $30.90 Typical High $53.70 | Facility | None | $16.22 | $30.90 | $53.70 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $33.88 | Professional | None | $26.30 | $30.90 | $33.88 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $2.19 | $2.19 | $2.19 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | UE · Used equipment | $16.60 | $16.60 | $16.60 |
Sutter Health Plus Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.51 | $8.51 | $8.51 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $107.15 | Professional | None | $16.98 | $22.91 | $107.15 |
United Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.29 Typical High $14.13 | Professional | RR · Rental | $1.70 | $2.29 | $14.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $16.98 Typical High $104.71 | Professional | UE · Used equipment | $12.88 | $16.98 | $104.71 |
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 $31.62 Median $37.15 Typical High $61.66 | Professional | KU · Bidding program group 3 | $31.62 | $37.15 | $61.66 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KU · Bidding program group 3 | $100.00 | $100.00 | $100.00 |
Where California sits
The same service costs 2.7 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· 26th of 51
$33.11
HI $56.23NM $20.89
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.