How much rates vary
Facilitymedian $60 · 10th to 90th $6 to $186Professionalmedian $54 · 10th to 90th $37 to $105
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 $26.92 Median $29.51 Typical High $29.51 | Facility | None | $26.92 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $47.86 | Professional | None | $26.92 | $29.51 | $47.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $22.39 Typical High $35.48 | Professional | UE · Used equipment | $19.95 | $22.39 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $109.65 Typical High $239.88 | Facility | None | $5.37 | $109.65 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $95.50 | Professional | None | $51.29 | $58.88 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.89 Typical High $10.00 | Professional | RR · Rental | $5.13 | $5.89 | $10.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $44.67 Typical High $79.43 | Professional | UE · Used equipment | $38.90 | $44.67 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $199.53 | Facility | None | $79.43 | $134.90 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $302.00 | Professional | None | $69.18 | $91.20 | $302.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None | $57.54 | $57.54 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $60.26 | Professional | None | $41.69 | $48.98 | $60.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | None | $70.79 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $107.15 | Professional | None | $53.70 | $63.10 | $107.15 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $5.37 Median $6.31 Typical High $10.72 | Professional | RR · Rental | $5.37 | $6.31 | $10.72 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $46.77 Typical High $77.62 | Professional | UE · Used equipment | $40.74 | $46.77 | $77.62 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $97.72 | Facility | None | $32.36 | $48.98 | $97.72 |
Providence Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | None | $41.69 | $48.98 | $48.98 |
Providence Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $14.45 | $14.45 | $14.45 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | UE · Used equipment | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $169.82 | Professional | None | $33.11 | $39.81 | $169.82 |
United Setting Professional Modifier RR · Rental Typical Low $3.31 Median $4.07 Typical High $23.99 | Professional | RR · Rental | $3.31 | $4.07 | $23.99 |
United Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $30.90 Typical High $177.83 | Professional | UE · Used equipment | $25.12 | $30.90 | $177.83 |
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 $58.88 Median $67.61 Typical High $112.20 | Professional | KE · Bid item, non-bid base | $58.88 | $67.61 | $112.20 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $53.70 Median $63.10 Typical High $102.33 | Professional | KU · Bidding program group 3 | $53.70 | $63.10 | $102.33 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | KE · Bid item, non-bid base | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | KU · Bidding program group 3 | $181.97 | $181.97 | $181.97 |
Where California sits
The same service costs 2.5 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· 34th of 51
$54.95
HI $102IL $40.74
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.