How much rates vary
Facilitymedian $42 · 10th to 90th $4 to $151Professionalmedian $42 · 10th to 90th $23 to $85
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 $16.60 Median $18.62 Typical High $18.62 | Facility | None | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $33.88 | Professional | None | $16.60 | $18.62 | $33.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $13.80 Typical High $25.70 | Professional | UE · Used equipment | $12.59 | $13.80 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.55 Median $91.20 Typical High $194.98 | Facility | None | $3.55 | $91.20 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $77.62 | Professional | None | $33.88 | $44.67 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.39 Median $4.47 Typical High $7.76 | Professional | RR · Rental | $3.39 | $4.47 | $7.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $33.88 Typical High $61.66 | Professional | UE · Used equipment | $25.12 | $33.88 | $61.66 |
Blue Shield Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $138.04 | Facility | None | $58.88 | $89.13 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $251.19 | Professional | None | $43.65 | $60.26 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $41.69 | Professional | None | $32.36 | $38.02 | $41.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $57.54 | Professional | None | $47.86 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $72.44 | Professional | None | $36.31 | $42.66 | $72.44 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.63 Median $4.27 Typical High $7.24 | Professional | RR · Rental | $3.63 | $4.27 | $7.24 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $31.62 Typical High $52.48 | Professional | UE · Used equipment | $27.54 | $31.62 | $52.48 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $38.02 Typical High $61.66 | Facility | None | $19.05 | $38.02 | $61.66 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | None | $32.36 | $38.02 | $38.02 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
Sutter Health Plus Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | RR · Rental | $10.96 | $10.96 | $10.96 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $141.25 | Professional | None | $22.39 | $28.84 | $141.25 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.88 Typical High $15.85 | Professional | RR · Rental | $2.24 | $2.88 | $15.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $21.38 Typical High $120.23 | Professional | UE · Used equipment | $16.98 | $21.38 | $120.23 |
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 $38.90 Median $45.71 Typical High $74.13 | Professional | KE · Bid item, non-bid base | $38.90 | $45.71 | $74.13 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $36.31 Median $42.66 Typical High $69.18 | Professional | KU · Bidding program group 3 | $36.31 | $42.66 | $69.18 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KE · Bid item, non-bid base | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KU · Bidding program group 3 | $114.82 | $114.82 | $114.82 |
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· 28th of 51
$41.69
HI $63.10IL $28.84
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.