How much rates vary
Facilitymedian $123 · 10th to 90th $13 to $407Professionalmedian $120 · 10th to 90th $69 to $234
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 $50.12 Median $56.23 Typical High $56.23 | Facility | None | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $97.72 | Professional | None | $50.12 | $56.23 | $97.72 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $41.69 Typical High $74.13 | Professional | UE · Used equipment | $37.15 | $41.69 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $245.47 Typical High $537.03 | Facility | None | $10.72 | $245.47 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $223.87 | Professional | None | $100.00 | $134.90 | $223.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.00 Median $13.49 Typical High $22.39 | Professional | RR · Rental | $10.00 | $13.49 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $100.00 Typical High $173.78 | Professional | UE · Used equipment | $75.86 | $100.00 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $263.03 Typical High $380.19 | Facility | None | $97.72 | $263.03 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $676.08 | Professional | None | $173.78 | $181.97 | $676.08 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | None | $128.82 | $128.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | RR · Rental | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | UE · Used equipment | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | None | $95.50 | $112.20 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $9.55 | $11.22 | $11.22 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $70.79 | $83.18 | $83.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $173.78 | Professional | None | $144.54 | $173.78 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $223.87 | Professional | None | $112.20 | $128.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $11.22 Median $12.88 Typical High $25.12 | Professional | RR · Rental | $11.22 | $12.88 | $25.12 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $97.72 Typical High $158.49 | Professional | UE · Used equipment | $83.18 | $97.72 | $158.49 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $186.21 | Facility | None | $58.88 | $112.20 | $186.21 |
Providence Setting Facility Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | RR · Rental | $11.22 | $11.22 | $11.22 |
Providence Setting Facility Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | UE · Used equipment | $83.18 | $83.18 | $83.18 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | None | $95.50 | $112.20 | $112.20 |
Providence Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $9.55 | $11.22 | $11.22 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $70.79 | $83.18 | $83.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $380.19 | Professional | None | $61.66 | $83.18 | $380.19 |
United Setting Professional Modifier RR · Rental Typical Low $6.46 Median $8.32 Typical High $47.86 | Professional | RR · Rental | $6.46 | $8.32 | $47.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $63.10 Typical High $363.08 | Professional | UE · Used equipment | $47.86 | $63.10 | $363.08 |
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 $120.23 Median $141.25 Typical High $229.09 | Professional | KE · Bid item, non-bid base | $120.23 | $141.25 | $229.09 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $112.20 Median $128.82 Typical High $213.80 | Professional | KU · Bidding program group 3 | $112.20 | $128.82 | $213.80 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KE · Bid item, non-bid base | $338.84 | $338.84 | $338.84 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KU · Bidding program group 3 | $338.84 | $338.84 | $338.84 |
Where California sits
The same service costs 1.9 times more in Wisconsin 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· 31st of 51
$120
WI $178UT $95.50
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.