How much rates vary
Facilitymedian $170 · 10th to 90th $17 to $501Professionalmedian $151 · 10th to 90th $112 to $316
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 $102.33 Median $114.82 Typical High $114.82 | Facility | None | $102.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $165.96 | Professional | None | $102.33 | $114.82 | $165.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $87.10 Typical High $104.71 | Professional | UE · Used equipment | $77.62 | $87.10 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | None | $194.98 | $194.98 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $275.42 Typical High $588.84 | Facility | None | $14.79 | $275.42 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $309.03 | Professional | None | $141.25 | $151.36 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $15.14 Typical High $30.90 | Professional | RR · Rental | $14.13 | $15.14 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $114.82 Typical High $208.93 | Professional | UE · Used equipment | $102.33 | $114.82 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $102.33 Median $416.87 Typical High $741.31 | Facility | None | $102.33 | $416.87 | $741.31 |
Blue Shield Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $758.58 | Professional | None | $309.03 | $380.19 | $758.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | None | $144.54 | $144.54 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Facility | None | $125.89 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $204.17 | Professional | None | $107.15 | $125.89 | $204.17 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $16.98 | Professional | RR · Rental | $15.49 | $15.49 | $16.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | UE · Used equipment | $117.49 | $117.49 | $117.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | None | $234.42 | $281.84 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $354.81 | Professional | None | $177.83 | $208.93 | $354.81 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $17.78 Median $20.89 Typical High $39.81 | Professional | RR · Rental | $17.78 | $20.89 | $39.81 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $154.88 Typical High $257.04 | Professional | UE · Used equipment | $134.90 | $154.88 | $257.04 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $380.19 | Facility | None | $120.23 | $141.25 | $380.19 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | None | $107.15 | $125.89 | $154.88 |
Providence Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $15.49 | $15.49 | $15.49 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | UE · Used equipment | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $41.69 | $41.69 | $41.69 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $457.09 | Professional | None | $112.20 | $141.25 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $14.13 Typical High $72.44 | Professional | RR · Rental | $11.22 | $14.13 | $72.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $107.15 Typical High $537.03 | Professional | UE · Used equipment | $83.18 | $107.15 | $537.03 |
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 $194.98 Median $229.09 Typical High $371.54 | Professional | KE · Bid item, non-bid base | $194.98 | $229.09 | $371.54 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $177.83 Median $208.93 Typical High $338.84 | Professional | KU · Bidding program group 3 | $177.83 | $208.93 | $338.84 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KE · Bid item, non-bid base | $537.03 | $537.03 | $537.03 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | KU · Bidding program group 3 | $707.95 | $707.95 | $707.95 |
Where California sits
The same service costs 3.0 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· 39th of 51
$151
KS $331IL $112
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.