How much rates vary
Facilitymedian $49 · 10th to 90th $4 to $155Professionalmedian $43 · 10th to 90th $24 to $85
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 $16.98 Median $19.05 Typical High $19.05 | Facility | None | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $37.15 | Professional | None | $16.98 | $19.05 | $37.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $14.13 Typical High $26.30 | Professional | UE · Used equipment | $12.59 | $14.13 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $93.33 Typical High $204.17 | Facility | None | $3.63 | $93.33 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $79.43 | Professional | None | $34.67 | $45.71 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.57 Typical High $7.94 | Professional | RR · Rental | $3.47 | $4.57 | $7.94 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $33.88 Typical High $66.07 | Professional | UE · Used equipment | $25.70 | $33.88 | $66.07 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $144.54 | Facility | None | $60.26 | $91.20 | $144.54 |
Blue Shield Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $257.04 | Professional | None | $58.88 | $61.66 | $257.04 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $48.98 | Facility | None | $38.90 | $38.90 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Professional | None | $33.11 | $38.90 | $51.29 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | UE · Used equipment | $19.50 | $19.50 | $19.50 |
Contra Costa Health Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | None | $48.98 | $58.88 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $74.13 | Professional | None | $37.15 | $43.65 | $74.13 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.72 Median $4.37 Typical High $8.32 | Professional | RR · Rental | $3.72 | $4.37 | $8.32 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $32.36 Typical High $53.70 | Professional | UE · Used equipment | $28.18 | $32.36 | $53.70 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $38.90 Typical High $63.10 | Facility | None | $20.42 | $38.90 | $63.10 |
Providence Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $41.69 | Professional | None | $33.11 | $38.90 | $41.69 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | UE · Used equipment | $19.50 | $19.50 | $19.50 |
Sutter Health Plus Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $11.22 | $11.22 | $11.22 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $144.54 | Professional | None | $22.91 | $29.51 | $144.54 |
United Setting Professional Modifier RR · Rental Typical Low $2.29 Median $2.95 Typical High $16.22 | Professional | RR · Rental | $2.29 | $2.95 | $16.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $22.39 Typical High $123.03 | Professional | UE · Used equipment | $17.38 | $22.39 | $123.03 |
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 $39.81 Median $46.77 Typical High $75.86 | Professional | KE · Bid item, non-bid base | $39.81 | $46.77 | $75.86 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $37.15 Median $43.65 Typical High $70.79 | Professional | KU · Bidding program group 3 | $37.15 | $43.65 | $70.79 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | KE · Bid item, non-bid base | $120.23 | $120.23 | $120.23 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KU · Bidding program group 3 | $117.49 | $117.49 | $117.49 |
Where California sits
The same service costs 2.3 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· 30th of 51
$42.66
HI $66.07NM $28.18
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.