How much rates vary
Facilitymedian $324 · 10th to 90th $36 to $1,000Professionalmedian $295 · 10th to 90th $158 to $537
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 $109.65 Median $123.03 Typical High $123.03 | Facility | None | $109.65 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $223.87 | Professional | None | $109.65 | $123.03 | $223.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $91.20 Typical High $165.96 | Professional | UE · Used equipment | $81.28 | $91.20 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $588.84 Typical High $1,288.25 | Facility | None | $32.36 | $588.84 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $501.19 | Professional | None | $269.15 | $295.12 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $29.51 Typical High $50.12 | Professional | RR · Rental | $26.92 | $29.51 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $218.78 Typical High $398.11 | Professional | UE · Used equipment | $204.17 | $218.78 | $398.11 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $575.44 Typical High $912.01 | Facility | None | $223.87 | $575.44 | $912.01 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $1,621.81 | Professional | None | $380.19 | $398.11 | $1,621.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $309.03 | Professional | None | $302.00 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $323.59 | Professional | None | $223.87 | $263.03 | $323.59 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $16.60 | $16.60 | $16.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $125.89 | $125.89 | $125.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $363.08 | Professional | None | $302.00 | $363.08 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $478.63 | Professional | None | $239.88 | $275.42 | $478.63 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $23.99 Median $27.54 Typical High $53.70 | Professional | RR · Rental | $23.99 | $27.54 | $53.70 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $208.93 Typical High $346.74 | Professional | UE · Used equipment | $177.83 | $208.93 | $346.74 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $407.38 | Facility | None | $177.83 | $263.03 | $407.38 |
Providence Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $281.84 | Professional | None | $223.87 | $263.03 | $281.84 |
Providence Setting Professional Modifier RR · Rental Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $16.60 | $16.60 | $16.60 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $70.79 | $70.79 | $70.79 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $912.01 | Professional | None | $147.91 | $190.55 | $912.01 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $19.05 Typical High $104.71 | Professional | RR · Rental | $14.79 | $19.05 | $104.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $141.25 Typical High $776.25 | Professional | UE · Used equipment | $109.65 | $141.25 | $776.25 |
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 $257.04 Median $302.00 Typical High $489.78 | Professional | KE · Bid item, non-bid base | $257.04 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $239.88 Median $275.42 Typical High $457.09 | Professional | KU · Bidding program group 3 | $239.88 | $275.42 | $457.09 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | KE · Bid item, non-bid base | $776.25 | $776.25 | $776.25 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | KU · Bidding program group 3 | $758.58 | $758.58 | $758.58 |
Where California sits
The same service costs 2.2 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· 17th of 51
$295
HI $407NM $182
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.