How much rates vary
Facilitymedian $35 · 10th to 90th $4 to $129Professionalmedian $36 · 10th to 90th $20 to $74
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 $14.13 Median $15.85 Typical High $15.85 | Facility | None | $14.13 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $29.51 | Professional | None | $14.13 | $15.85 | $29.51 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $11.75 Typical High $21.88 | Professional | UE · Used equipment | $10.72 | $11.75 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $77.62 Typical High $169.82 | Facility | None | $3.02 | $77.62 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $67.61 | Professional | None | $28.84 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $3.80 Typical High $6.76 | Professional | RR · Rental | $2.88 | $3.80 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $28.18 Typical High $56.23 | Professional | UE · Used equipment | $21.38 | $28.18 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $120.23 | Facility | None | $50.12 | $75.86 | $120.23 |
Blue Shield Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $213.80 | Professional | None | $37.15 | $51.29 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | None | $40.74 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | None | $28.18 | $33.11 | $35.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Contra Costa Health Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $48.98 | Professional | None | $40.74 | $48.98 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | None | $30.90 | $36.31 | $63.10 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.63 Typical High $6.31 | Professional | RR · Rental | $3.09 | $3.63 | $6.31 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $27.54 Typical High $44.67 | Professional | UE · Used equipment | $23.44 | $27.54 | $44.67 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $52.48 | Facility | None | $16.22 | $33.11 | $52.48 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | None | $28.18 | $33.11 | $33.11 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Sutter Health Plus Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $9.33 | $9.33 | $9.33 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $123.03 | Professional | None | $19.05 | $24.55 | $123.03 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.45 Typical High $13.49 | Professional | RR · Rental | $1.95 | $2.45 | $13.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $18.62 Typical High $102.33 | Professional | UE · Used equipment | $14.45 | $18.62 | $102.33 |
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 $33.88 Median $38.90 Typical High $64.57 | Professional | KE · Bid item, non-bid base | $33.88 | $38.90 | $64.57 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $30.90 Median $36.31 Typical High $60.26 | Professional | KU · Bidding program group 3 | $30.90 | $36.31 | $60.26 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KE · Bid item, non-bid base | $100.00 | $100.00 | $100.00 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | KU · Bidding program group 3 | $97.72 | $97.72 | $97.72 |
Where California sits
The same service costs 2.3 times more in Hawaii than in New Mexico. 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· 26th of 51
$36.31
HI $54.95NM $23.44
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.