How much rates vary
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 $67.61 Median $75.86 Typical High $75.86 | Facility | None | $67.61 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $134.90 | Professional | None | $67.61 | $75.86 | $134.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $57.54 Typical High $100.00 | Professional | UE · Used equipment | $51.29 | $57.54 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $309.03 Typical High $676.08 | Facility | None | $16.98 | $309.03 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $269.15 | Professional | None | $141.25 | $158.49 | $269.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $15.85 Typical High $26.92 | Professional | RR · Rental | $14.13 | $15.85 | $26.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $120.23 Typical High $213.80 | Professional | UE · Used equipment | $107.15 | $120.23 | $213.80 |
Blue Shield Setting Facility Modifier None Typical Low $117.49 Median $354.81 Typical High $512.86 | Facility | None | $117.49 | $354.81 | $512.86 |
Blue Shield Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $851.14 | Professional | None | $173.78 | $245.47 | $851.14 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | None | $165.96 | $165.96 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $169.82 | Facility | None | $131.83 | $131.83 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $190.55 | Professional | None | $112.20 | $131.83 | $190.55 |
Cigna 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 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | None | $186.21 | $223.87 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $281.84 | Professional | None | $141.25 | $165.96 | $281.84 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $14.13 Median $16.60 Typical High $31.62 | Professional | RR · Rental | $14.13 | $16.60 | $31.62 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $123.03 Typical High $204.17 | Professional | UE · Used equipment | $107.15 | $123.03 | $204.17 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $134.90 Typical High $245.47 | Facility | None | $131.83 | $134.90 | $245.47 |
Providence Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $154.88 | Professional | None | $112.20 | $131.83 | $154.88 |
Providence 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 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
Sutter Health Plus Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $489.78 | Professional | None | $70.79 | $102.33 | $489.78 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $10.23 Typical High $63.10 | Professional | RR · Rental | $7.94 | $10.23 | $63.10 |
United Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $77.62 Typical High $467.74 | Professional | UE · Used equipment | $60.26 | $77.62 | $467.74 |
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 $141.25 Median $165.96 Typical High $269.15 | Professional | KU · Bidding program group 3 | $141.25 | $165.96 | $269.15 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | KU · Bidding program group 3 | $457.09 | $457.09 | $457.09 |
Where California sits
The same service costs 2.6 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· 25th of 51
$158
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.