How much rates vary
Facilitymedian $575 · 10th to 90th $58 to $2,188Professionalmedian $603 · 10th to 90th $331 to $1,230
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 $229.09 Median $257.04 Typical High $257.04 | Facility | None | $229.09 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $489.78 | Professional | None | $229.09 | $257.04 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $194.98 Typical High $371.54 | Professional | UE · Used equipment | $173.78 | $194.98 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $1,318.26 Typical High $2,818.38 | Facility | None | $48.98 | $1,318.26 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $1,122.02 | Professional | None | $467.74 | $616.60 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $61.66 Typical High $112.20 | Professional | RR · Rental | $46.77 | $61.66 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $467.74 Typical High $891.25 | Professional | UE · Used equipment | $346.74 | $467.74 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,041.74 | Facility | None | $501.19 | $1,230.27 | $2,041.74 |
Blue Shield Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $3,630.78 | Professional | None | $794.33 | $851.14 | $3,630.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | RR · Rental | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $524.81 | Professional | None | $436.52 | $512.86 | $524.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $43.65 | $51.29 | $51.29 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $331.13 | $389.05 | $389.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $831.76 | Professional | None | $691.83 | $831.76 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $891.25 | Professional | None | $512.86 | $602.56 | $891.25 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $51.29 Median $60.26 Typical High $229.09 | Professional | RR · Rental | $51.29 | $60.26 | $229.09 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $446.68 Typical High $741.31 | Professional | UE · Used equipment | $389.05 | $446.68 | $741.31 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $851.14 | Facility | None | $269.15 | $512.86 | $851.14 |
Providence Setting Facility Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | RR · Rental | $51.29 | $51.29 | $51.29 |
Providence Setting Facility Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Providence Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | None | $436.52 | $512.86 | $512.86 |
Providence Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $43.65 | $51.29 | $51.29 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $331.13 | $389.05 | $389.05 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $158.49 | $158.49 | $158.49 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | UE · Used equipment | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $2,041.74 | Professional | None | $316.23 | $416.87 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $33.11 Median $41.69 Typical High $223.87 | Professional | RR · Rental | $33.11 | $41.69 | $223.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $316.23 Typical High $1,659.59 | Professional | UE · Used equipment | $245.47 | $316.23 | $1,659.59 |
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 $549.54 Median $645.65 Typical High $1,071.52 | Professional | KE · Bid item, non-bid base | $549.54 | $645.65 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $512.86 Median $602.56 Typical High $977.24 | Professional | KU · Bidding program group 3 | $512.86 | $602.56 | $977.24 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | KE · Bid item, non-bid base | $1,698.24 | $1,698.24 | $1,698.24 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | KU · Bidding program group 3 | $1,584.89 | $1,584.89 | $1,584.89 |
Where California sits
The same service costs 2.0 times more in Hawaii than in Arizona. 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· 24th of 51
$603
HI $891AZ $437
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.