How much rates vary
Facilitymedian $38 · 10th to 90th $4 to $135Professionalmedian $38 · 10th to 90th $21 to $74
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 $31.62 | Professional | None | $14.45 | $16.22 | $31.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $12.02 Typical High $23.44 | Professional | UE · Used equipment | $10.96 | $12.02 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $81.28 Typical High $177.83 | Facility | None | $3.09 | $81.28 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $69.18 | Professional | None | $29.51 | $38.90 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.89 Typical High $7.76 | Professional | RR · Rental | $2.95 | $3.89 | $7.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $28.84 Typical High $54.95 | Professional | UE · Used equipment | $21.88 | $28.84 | $54.95 |
Blue Shield Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $128.82 | Facility | None | $51.29 | $77.62 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $229.09 | Professional | None | $38.02 | $52.48 | $229.09 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Facility | None | $24.55 | $24.55 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | None | $20.89 | $24.55 | $35.48 |
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 $41.69 Median $50.12 Typical High $50.12 | Professional | None | $41.69 | $50.12 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $64.57 | Professional | None | $32.36 | $38.02 | $64.57 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.72 Typical High $14.13 | Professional | RR · Rental | $3.24 | $3.72 | $14.13 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | UE · Used equipment | $23.99 | $28.18 | $46.77 |
Providence Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $53.70 | Facility | None | $16.98 | $24.55 | $53.70 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | None | $20.89 | $24.55 | $35.48 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | UE · Used equipment | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $128.82 | Professional | None | $19.95 | $26.30 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.63 Typical High $13.80 | Professional | RR · Rental | $2.04 | $2.63 | $13.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $19.95 Typical High $104.71 | Professional | UE · Used equipment | $15.49 | $19.95 | $104.71 |
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 $34.67 Median $40.74 Typical High $66.07 | Professional | KE · Bid item, non-bid base | $34.67 | $40.74 | $66.07 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $32.36 Median $38.02 Typical High $61.66 | Professional | KU · Bidding program group 3 | $32.36 | $38.02 | $61.66 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | KE · Bid item, non-bid base | $104.71 | $104.71 | $104.71 |
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 10.0 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· 26th of 51
$38.02
KS $240NM $23.99
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.