How much rates vary
Facilitymedian $105 · 10th to 90th $12 to $316Professionalmedian $98 · 10th to 90th $65 to $186
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 $91.20 | Professional | None | $50.12 | $56.23 | $91.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $41.69 Typical High $60.26 | Professional | UE · Used equipment | $37.15 | $41.69 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | None | $83.18 | $112.20 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $186.21 Typical High $407.38 | Facility | None | $10.00 | $186.21 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $177.83 | Professional | None | $87.10 | $100.00 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.71 Median $10.00 Typical High $17.78 | Professional | RR · Rental | $8.71 | $10.00 | $17.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $74.13 Typical High $134.90 | Professional | UE · Used equipment | $66.07 | $74.13 | $134.90 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $354.81 | Facility | None | $97.72 | $229.09 | $354.81 |
Blue Shield Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $512.86 | Professional | None | $154.88 | $181.97 | $512.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None | $97.72 | $97.72 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | None | $69.18 | $81.28 | $109.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | RR · Rental | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | UE · Used equipment | $57.54 | $57.54 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | None | $128.82 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $218.78 | Professional | None | $97.72 | $112.20 | $218.78 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $9.77 Median $11.22 Typical High $21.88 | Professional | RR · Rental | $9.77 | $11.22 | $21.88 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $85.11 Typical High $141.25 | Professional | UE · Used equipment | $72.44 | $85.11 | $141.25 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $186.21 | Facility | None | $60.26 | $81.28 | $186.21 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $100.00 | Professional | None | $69.18 | $81.28 | $100.00 |
Providence Setting Professional Modifier RR · Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | RR · Rental | $7.59 | $7.59 | $7.59 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | UE · Used equipment | $57.54 | $57.54 | $57.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $288.40 | Professional | None | $61.66 | $74.13 | $288.40 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $7.41 Typical High $43.65 | Professional | RR · Rental | $6.17 | $7.41 | $43.65 |
United Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $56.23 Typical High $323.59 | Professional | UE · Used equipment | $46.77 | $56.23 | $323.59 |
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 $104.71 Median $123.03 Typical High $199.53 | Professional | KE · Bid item, non-bid base | $104.71 | $123.03 | $199.53 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $97.72 Median $112.20 Typical High $186.21 | Professional | KU · Bidding program group 3 | $97.72 | $112.20 | $186.21 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | KE · Bid item, non-bid base | $295.12 | $295.12 | $295.12 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | KU · Bidding program group 3 | $346.74 | $346.74 | $346.74 |
Where California sits
The same service costs 3.0 times more in Kansas 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· 32nd of 51
$97.72
KS $195NM $64.57
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.