How much rates vary
Facilitymedian $417 · 10th to 90th $47 to $1,259Professionalmedian $372 · 10th to 90th $209 to $676
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 $141.25 Median $154.88 Typical High $154.88 | Facility | None | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $295.12 | Professional | None | $141.25 | $154.88 | $295.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $117.49 Typical High $213.80 | Professional | UE · Used equipment | $104.71 | $117.49 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $741.31 Typical High $1,621.81 | Facility | None | $41.69 | $741.31 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $630.96 | Professional | None | $338.84 | $371.54 | $630.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $37.15 Typical High $63.10 | Professional | RR · Rental | $33.88 | $37.15 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $281.84 Typical High $501.19 | Professional | UE · Used equipment | $257.04 | $281.84 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $741.31 Typical High $1,148.15 | Facility | None | $281.84 | $741.31 | $1,148.15 |
Blue Shield Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $2,041.74 | Professional | None | $489.78 | $512.86 | $2,041.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | None | $380.19 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | None | $281.84 | $331.13 | $354.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $457.09 | Professional | None | $380.19 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $602.56 | Professional | None | $302.00 | $354.81 | $602.56 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $30.20 Median $35.48 Typical High $67.61 | Professional | RR · Rental | $30.20 | $35.48 | $67.61 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $263.03 Typical High $436.52 | Professional | UE · Used equipment | $229.09 | $263.03 | $436.52 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $524.81 | Facility | None | $331.13 | $331.13 | $524.81 |
Providence Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Providence Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $1,148.15 | Professional | None | $186.21 | $239.88 | $1,148.15 |
United Setting Professional Modifier RR · Rental Typical Low $19.05 Median $23.99 Typical High $131.83 | Professional | RR · Rental | $19.05 | $23.99 | $131.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $181.97 Typical High $977.24 | Professional | UE · Used equipment | $141.25 | $181.97 | $977.24 |
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 $323.59 Median $380.19 Typical High $616.60 | Professional | KE · Bid item, non-bid base | $323.59 | $380.19 | $616.60 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $302.00 Median $354.81 Typical High $575.44 | Professional | KU · Bidding program group 3 | $302.00 | $354.81 | $575.44 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | KE · Bid item, non-bid base | $977.24 | $977.24 | $977.24 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | KU · Bidding program group 3 | $954.99 | $954.99 | $954.99 |
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· 19th of 51
$372
HI $525NM $234
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.