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 $42.66 Median $47.86 Typical High $47.86 | Facility | None | $42.66 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $81.28 | Professional | None | $42.66 | $47.86 | $81.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $36.31 Typical High $60.26 | Professional | UE · Used equipment | $32.36 | $36.31 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $229.09 Typical High $501.19 | Facility | None | $9.12 | $229.09 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $199.53 | Professional | None | $87.10 | $109.65 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.71 Median $10.96 Typical High $19.95 | Professional | RR · Rental | $8.71 | $10.96 | $19.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $83.18 Typical High $154.88 | Professional | UE · Used equipment | $66.07 | $83.18 | $154.88 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $213.80 Typical High $363.08 | Facility | None | $97.72 | $213.80 | $363.08 |
Blue Shield Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $645.65 | Professional | None | $141.25 | $147.91 | $645.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | None | $107.15 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | RR · Rental | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $102.33 | Professional | None | $81.28 | $95.50 | $102.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $8.32 | $9.77 | $9.77 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $61.66 | $72.44 | $72.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | None | $107.15 | $128.82 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $181.97 | Professional | None | $91.20 | $107.15 | $181.97 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $9.12 Median $10.72 Typical High $40.74 | Professional | RR · Rental | $9.12 | $10.72 | $40.74 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $79.43 Typical High $131.83 | Professional | UE · Used equipment | $67.61 | $79.43 | $131.83 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $151.36 | Facility | None | $47.86 | $95.50 | $151.36 |
Providence Setting Facility Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | RR · Rental | $9.77 | $9.77 | $9.77 |
Providence Setting Facility Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | None | $81.28 | $95.50 | $95.50 |
Providence Setting Professional Modifier RR · Rental Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $8.32 | $9.77 | $9.77 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $61.66 | $72.44 | $72.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | RR · Rental | $27.54 | $27.54 | $27.54 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $363.08 | Professional | None | $51.29 | $66.07 | $363.08 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $6.76 Typical High $38.02 | Professional | RR · Rental | $5.25 | $6.76 | $38.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $50.12 Typical High $288.40 | Professional | UE · Used equipment | $38.90 | $50.12 | $288.40 |
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 $91.20 Median $107.15 Typical High $173.78 | Professional | KU · Bidding program group 3 | $91.20 | $107.15 | $173.78 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | KU · Bidding program group 3 | $281.84 | $281.84 | $281.84 |
Where California sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 23rd of 51
$102
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.