How much rates vary
Facilitymedian $39 · 10th to 90th $5 to $141Professionalmedian $37 · 10th to 90th $21 to $79
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 $15.85 Median $17.78 Typical High $17.78 | Facility | None | $15.85 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $31.62 | Professional | None | $15.85 | $17.78 | $31.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $13.18 Typical High $23.44 | Professional | UE · Used equipment | $12.02 | $13.18 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $85.11 Typical High $181.97 | Facility | None | $3.89 | $85.11 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $75.86 | Professional | None | $37.15 | $42.66 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.89 Typical High $6.92 | Professional | RR · Rental | $3.47 | $3.89 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $32.36 Typical High $57.54 | Professional | UE · Used equipment | $27.54 | $32.36 | $57.54 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $128.82 | Facility | None | $56.23 | $85.11 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $204.17 | Professional | None | $35.48 | $54.95 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | None | $41.69 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $33.88 | Facility | None | $25.12 | $25.12 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $36.31 | Professional | None | $21.38 | $25.12 | $36.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | None | $41.69 | $50.12 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $69.18 | Professional | None | $34.67 | $39.81 | $69.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.72 Typical High $14.13 | Professional | RR · Rental | $3.16 | $3.72 | $14.13 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $30.20 Typical High $48.98 | Professional | UE · Used equipment | $25.70 | $30.20 | $48.98 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $58.88 | Facility | None | $19.05 | $25.70 | $58.88 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $35.48 | Professional | None | $21.38 | $25.12 | $35.48 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | UE · Used equipment | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $131.83 | Professional | None | $19.95 | $26.30 | $131.83 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $2.40 Typical High $12.59 | Professional | RR · Rental | $1.82 | $2.40 | $12.59 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $19.95 Typical High $107.15 | Professional | UE · Used equipment | $15.49 | $19.95 | $107.15 |
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 $37.15 Median $42.66 Typical High $70.79 | Professional | KE · Bid item, non-bid base | $37.15 | $42.66 | $70.79 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $34.67 Median $39.81 Typical High $66.07 | Professional | KU · Bidding program group 3 | $34.67 | $39.81 | $66.07 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KE · Bid item, non-bid base | $112.20 | $112.20 | $112.20 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KU · Bidding program group 3 | $109.65 | $109.65 | $109.65 |
Where California sits
The same service costs 4.8 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
$37.15
HI $117NM $24.55
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.