How much rates vary
Facilitymedian $148 · 10th to 90th $15 to $457Professionalmedian $129 · 10th to 90th $87 to $257
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 $61.66 Median $69.18 Typical High $69.18 | Facility | None | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $117.49 | Professional | None | $61.66 | $69.18 | $117.49 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $52.48 Typical High $83.18 | Professional | UE · Used equipment | $46.77 | $52.48 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $269.15 Typical High $588.84 | Facility | None | $13.18 | $269.15 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $257.04 | Professional | None | $123.03 | $141.25 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $14.13 Typical High $25.70 | Professional | RR · Rental | $12.30 | $14.13 | $25.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $104.71 Typical High $194.98 | Professional | UE · Used equipment | $93.33 | $104.71 | $194.98 |
Blue Shield Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $478.63 | Facility | None | $102.33 | $323.59 | $478.63 |
Blue Shield Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $741.31 | Professional | None | $208.93 | $229.09 | $741.31 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None | $141.25 | $141.25 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | None | $114.82 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $151.36 | Professional | None | $97.72 | $114.82 | $151.36 |
Cigna 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 |
Cigna 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 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | None | $169.82 | $204.17 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $257.04 | Professional | None | $128.82 | $147.91 | $257.04 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $12.88 Median $14.79 Typical High $28.84 | Professional | RR · Rental | $12.88 | $14.79 | $28.84 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $112.20 Typical High $181.97 | Professional | UE · Used equipment | $95.50 | $112.20 | $181.97 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $229.09 | Facility | None | $75.86 | $114.82 | $229.09 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $123.03 | Professional | None | $97.72 | $114.82 | $123.03 |
Providence 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 |
Providence 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 |
Sutter Health Plus Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | RR · Rental | $34.67 | $34.67 | $34.67 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $416.87 | Professional | None | $77.62 | $93.33 | $416.87 |
United Setting Professional Modifier RR · Rental Typical Low $7.76 Median $10.00 Typical High $54.95 | Professional | RR · Rental | $7.76 | $10.00 | $54.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $75.86 Typical High $416.87 | Professional | UE · Used equipment | $57.54 | $75.86 | $416.87 |
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 $138.04 Median $162.18 Typical High $263.03 | Professional | KE · Bid item, non-bid base | $138.04 | $162.18 | $263.03 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $128.82 Median $147.91 Typical High $245.47 | Professional | KU · Bidding program group 3 | $128.82 | $147.91 | $245.47 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | KE · Bid item, non-bid base | $398.11 | $398.11 | $398.11 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | KU · Bidding program group 3 | $426.58 | $426.58 | $426.58 |
Where California sits
The same service costs 3.3 times more in Kansas 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· 30th of 51
$132
KS $309IL $93.33
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.