How much rates vary
Facilitymedian $214 · 10th to 90th $23 to $646Professionalmedian $191 · 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 $95.50 Median $107.15 Typical High $107.15 | Facility | None | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $177.83 | Professional | None | $95.50 | $107.15 | $177.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $79.43 Typical High $120.23 | Professional | UE · Used equipment | $72.44 | $79.43 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $380.19 Typical High $812.83 | Facility | None | $19.50 | $380.19 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $338.84 | Professional | None | $173.78 | $194.98 | $338.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.38 Median $19.50 Typical High $33.88 | Professional | RR · Rental | $17.38 | $19.50 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $147.91 Typical High $263.03 | Professional | UE · Used equipment | $128.82 | $147.91 | $263.03 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $467.74 Typical High $691.83 | Facility | None | $141.25 | $467.74 | $691.83 |
Blue Shield Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $1,047.13 | Professional | None | $331.13 | $346.74 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Facility | None | $162.18 | $162.18 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $213.80 | Professional | None | $138.04 | $162.18 | $213.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | UE · Used equipment | $109.65 | $109.65 | $109.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $302.00 | Professional | None | $251.19 | $302.00 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $380.19 | Professional | None | $190.55 | $218.78 | $380.19 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $19.05 Median $21.88 Typical High $42.66 | Professional | RR · Rental | $19.05 | $21.88 | $42.66 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $165.96 Typical High $269.15 | Professional | UE · Used equipment | $141.25 | $165.96 | $269.15 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $354.81 | Facility | None | $114.82 | $162.18 | $354.81 |
Providence Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $190.55 | Professional | None | $138.04 | $162.18 | $190.55 |
Providence Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $14.45 | $14.45 | $14.45 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | UE · Used equipment | $109.65 | $109.65 | $109.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $50.12 | $50.12 | $50.12 |
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 $120.23 Median $141.25 Typical High $588.84 | Professional | None | $120.23 | $141.25 | $588.84 |
United Setting Professional Modifier RR · Rental Typical Low $12.02 Median $14.45 Typical High $85.11 | Professional | RR · Rental | $12.02 | $14.45 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $109.65 Typical High $645.65 | Professional | UE · Used equipment | $89.13 | $109.65 | $645.65 |
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 $204.17 Median $239.88 Typical High $389.05 | Professional | KE · Bid item, non-bid base | $204.17 | $239.88 | $389.05 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $190.55 Median $218.78 Typical High $363.08 | Professional | KU · Bidding program group 3 | $190.55 | $218.78 | $363.08 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | KE · Bid item, non-bid base | $588.84 | $588.84 | $588.84 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | KU · Bidding program group 3 | $660.69 | $660.69 | $660.69 |
Where California sits
The same service costs 2.6 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· 32nd of 51
$191
HI $339NM $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.