How much rates vary
Facilitymedian $1,000 · 10th to 90th $102 to $3,020Professionalmedian $871 · 10th to 90th $389 to $1,514
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 $371.54 Median $416.87 Typical High $416.87 | Facility | None | $371.54 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $691.83 | Professional | None | $371.54 | $416.87 | $691.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $309.03 Typical High $524.81 | Professional | UE · Used equipment | $275.42 | $309.03 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $1,778.28 Typical High $3,801.89 | Facility | None | $91.20 | $1,778.28 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,513.56 | Professional | None | $741.31 | $870.96 | $1,513.56 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $87.10 Typical High $158.49 | Professional | RR · Rental | $74.13 | $87.10 | $158.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $645.65 Typical High $1,202.26 | Professional | UE · Used equipment | $549.54 | $645.65 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $660.69 Median $1,905.46 Typical High $2,818.38 | Facility | None | $660.69 | $1,905.46 | $2,818.38 |
Blue Shield Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | None | $933.25 | $933.25 | $1,000.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | None | $933.25 | $933.25 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | RR · Rental | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | UE · Used equipment | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $398.11 | Professional | None | $288.40 | $398.11 | $398.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.84 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $28.84 | $39.81 | $39.81 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $229.09 | $316.23 | $316.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,230.27 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,380.38 | Professional | None | $794.33 | $933.25 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $79.43 Median $93.33 Typical High $177.83 | Professional | RR · Rental | $79.43 | $93.33 | $177.83 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $691.83 Typical High $1,148.15 | Professional | UE · Used equipment | $588.84 | $691.83 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $1,348.96 | Facility | None | $398.11 | $588.84 | $1,348.96 |
Providence Setting Facility Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | RR · Rental | $39.81 | $39.81 | $39.81 |
Providence Setting Facility Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | UE · Used equipment | $316.23 | $316.23 | $316.23 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $398.11 | Professional | None | $288.40 | $398.11 | $398.11 |
Providence Setting Professional Modifier RR · Rental Typical Low $28.84 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $28.84 | $39.81 | $39.81 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $229.09 | $316.23 | $316.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | RR · Rental | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $2,754.23 | Professional | None | $426.58 | $549.54 | $2,754.23 |
United Setting Professional Modifier RR · Rental Typical Low $43.65 Median $56.23 Typical High $323.59 | Professional | RR · Rental | $43.65 | $56.23 | $323.59 |
United Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $416.87 Typical High $2,398.83 | Professional | UE · Used equipment | $323.59 | $416.87 | $2,398.83 |
2 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 KU · Bidding program group 3 Typical Low $794.33 Median $933.25 Typical High $1,513.56 | Professional | KU · Bidding program group 3 | $794.33 | $933.25 | $1,513.56 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | KU · Bidding program group 3 | $2,511.89 | $2,511.89 | $2,511.89 |
Where California sits
The same service costs 3.1 times more in Wisconsin than in Vermont. 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· 25th of 51
$871
WI $1,230VT $398
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.