How much rates vary
Facilitymedian $17 · 10th to 90th $2 to $58Professionalmedian $16 · 10th to 90th $10 to $33
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 $6.92 Median $7.59 Typical High $7.59 | Facility | None | $6.92 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $13.49 | Professional | None | $6.92 | $7.59 | $13.49 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.75 Typical High $10.00 | Professional | UE · Used equipment | $5.13 | $5.75 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.45 Median $34.67 Typical High $75.86 | Facility | None | $1.45 | $34.67 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $30.90 | Professional | None | $13.80 | $17.78 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.78 Typical High $2.95 | Professional | RR · Rental | $1.38 | $1.78 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $13.49 Typical High $23.44 | Professional | UE · Used equipment | $10.47 | $13.49 | $23.44 |
Blue Shield Setting Facility Modifier None Typical Low $22.91 Median $36.31 Typical High $53.70 | Facility | None | $22.91 | $36.31 | $53.70 |
Blue Shield Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $95.50 | Professional | None | $17.38 | $23.44 | $95.50 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | None | $18.20 | $18.20 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $16.98 | Professional | None | $12.30 | $14.45 | $16.98 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | UE · Used equipment | $7.76 | $7.76 | $7.76 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $22.91 | Professional | None | $19.05 | $22.91 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $28.84 | Professional | None | $14.45 | $16.60 | $28.84 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.66 Typical High $2.88 | Professional | RR · Rental | $1.45 | $1.66 | $2.88 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $12.59 Typical High $20.42 | Professional | UE · Used equipment | $10.72 | $12.59 | $20.42 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $25.12 | Facility | None | $7.94 | $14.45 | $25.12 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | None | $12.30 | $14.45 | $14.45 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | UE · Used equipment | $7.76 | $7.76 | $7.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | RR · Rental | $4.27 | $4.27 | $4.27 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $53.70 | Professional | None | $8.71 | $11.48 | $53.70 |
United Setting Professional Modifier RR · Rental Typical Low $0.87 Median $1.12 Typical High $6.17 | Professional | RR · Rental | $0.87 | $1.12 | $6.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $8.51 Typical High $45.71 | Professional | UE · Used equipment | $6.61 | $8.51 | $45.71 |
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 $15.49 Median $18.20 Typical High $29.51 | Professional | KE · Bid item, non-bid base | $15.49 | $18.20 | $29.51 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $14.45 Median $16.60 Typical High $27.54 | Professional | KU · Bidding program group 3 | $14.45 | $16.60 | $27.54 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | KE · Bid item, non-bid base | $46.77 | $46.77 | $46.77 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | KU · Bidding program group 3 | $46.77 | $46.77 | $46.77 |
Where California sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 29th of 51
$15.85
HI $25.12IL $11.22
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.