How much rates vary
Facilitymedian $214 · 10th to 90th $22 to $646Professionalmedian $182 · 10th to 90th $126 to $363
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 $89.13 Median $100.00 Typical High $100.00 | Facility | None | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $173.78 | Professional | None | $89.13 | $100.00 | $173.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $74.13 Typical High $114.82 | Professional | UE · Used equipment | $66.07 | $74.13 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $380.19 Typical High $831.76 | Facility | None | $18.62 | $380.19 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $331.13 | Professional | None | $177.83 | $204.17 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.78 Median $20.42 Typical High $34.67 | Professional | RR · Rental | $17.78 | $20.42 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $151.36 Typical High $275.42 | Professional | UE · Used equipment | $131.83 | $151.36 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $144.54 Median $457.09 Typical High $691.83 | Facility | None | $144.54 | $457.09 | $691.83 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $1,047.13 | Professional | None | $295.12 | $323.59 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | None | $199.53 | $199.53 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Facility | None | $165.96 | $165.96 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | None | $141.25 | $165.96 | $218.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | RR · Rental | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | None | $245.47 | $295.12 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $416.87 | Professional | None | $181.97 | $213.80 | $416.87 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $18.20 Median $21.38 Typical High $41.69 | Professional | RR · Rental | $18.20 | $21.38 | $41.69 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $162.18 Typical High $263.03 | Professional | UE · Used equipment | $138.04 | $162.18 | $263.03 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $331.13 | Facility | None | $107.15 | $165.96 | $331.13 |
Providence Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $177.83 | Professional | None | $141.25 | $165.96 | $177.83 |
Providence Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | RR · Rental | $13.49 | $13.49 | $13.49 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
Sutter Health Plus Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $48.98 | $48.98 | $48.98 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | UE · Used equipment | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $588.84 | Professional | None | $109.65 | $138.04 | $588.84 |
United Setting Professional Modifier RR · Rental Typical Low $10.96 Median $14.45 Typical High $79.43 | Professional | RR · Rental | $10.96 | $14.45 | $79.43 |
United Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $109.65 Typical High $588.84 | Professional | UE · Used equipment | $83.18 | $109.65 | $588.84 |
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 $199.53 Median $229.09 Typical High $380.19 | Professional | KE · Bid item, non-bid base | $199.53 | $229.09 | $380.19 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $181.97 Median $213.80 Typical High $354.81 | Professional | KU · Bidding program group 3 | $181.97 | $213.80 | $354.81 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | KE · Bid item, non-bid base | $562.34 | $562.34 | $562.34 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | KU · Bidding program group 3 | $616.60 | $616.60 | $616.60 |
Where California sits
The same service costs 2.7 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· 33rd of 51
$182
HI $347IL $129
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.