How much rates vary
Facilitymedian $65 · 10th to 90th $6 to $214Professionalmedian $59 · 10th to 90th $32 to $120
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 $22.91 Median $25.70 Typical High $25.70 | Facility | None | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $51.29 | Professional | None | $22.91 | $25.70 | $51.29 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $19.05 Typical High $36.31 | Professional | UE · Used equipment | $16.98 | $19.05 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $128.82 Typical High $281.84 | Facility | None | $4.90 | $128.82 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $109.65 | Professional | None | $46.77 | $61.66 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $6.17 Typical High $10.96 | Professional | RR · Rental | $4.57 | $6.17 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $45.71 Typical High $87.10 | Professional | UE · Used equipment | $34.67 | $45.71 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $199.53 | Facility | None | $81.28 | $120.23 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $354.81 | Professional | None | $79.43 | $83.18 | $354.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | None | $66.07 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $66.07 | Facility | None | $53.70 | $53.70 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | None | $45.71 | $53.70 | $70.79 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | UE · Used equipment | $25.70 | $25.70 | $25.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $79.43 | Professional | None | $66.07 | $79.43 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $102.33 | Professional | None | $51.29 | $58.88 | $102.33 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.89 Typical High $22.91 | Professional | RR · Rental | $5.13 | $5.89 | $22.91 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $44.67 Typical High $72.44 | Professional | UE · Used equipment | $38.02 | $44.67 | $72.44 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $53.70 Typical High $85.11 | Facility | None | $27.54 | $53.70 | $85.11 |
Providence Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $57.54 | Professional | None | $45.71 | $53.70 | $57.54 |
Providence Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | UE · Used equipment | $25.70 | $25.70 | $25.70 |
Sutter Health Plus Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $15.49 | $15.49 | $15.49 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $199.53 | Professional | None | $30.90 | $40.74 | $199.53 |
United Setting Professional Modifier RR · Rental Typical Low $3.24 Median $4.07 Typical High $21.88 | Professional | RR · Rental | $3.24 | $4.07 | $21.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $30.20 Typical High $165.96 | Professional | UE · Used equipment | $23.99 | $30.20 | $165.96 |
4 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 KE · Bid item, non-bid base Typical Low $54.95 Median $63.10 Typical High $104.71 | Professional | KE · Bid item, non-bid base | $54.95 | $63.10 | $104.71 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $51.29 Median $58.88 Typical High $97.72 | Professional | KU · Bidding program group 3 | $51.29 | $58.88 | $97.72 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | KE · Bid item, non-bid base | $165.96 | $165.96 | $165.96 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | KU · Bidding program group 3 | $158.49 | $158.49 | $158.49 |
Where California sits
The same service costs 2.3 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
$58.88
HI $89.13NM $38.02
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.