How much rates vary
Facilitymedian $46 · 10th to 90th $5 to $155Professionalmedian $45 · 10th to 90th $26 to $89
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 $17.78 Median $19.95 Typical High $19.95 | Facility | None | $17.78 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $37.15 | Professional | None | $17.78 | $19.95 | $37.15 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | RR · Rental | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $14.79 Typical High $27.54 | Professional | UE · Used equipment | $13.49 | $14.79 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $95.50 Typical High $208.93 | Facility | None | $4.37 | $95.50 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $85.11 | Professional | None | $41.69 | $47.86 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.79 Typical High $8.71 | Professional | RR · Rental | $4.17 | $4.79 | $8.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $35.48 Typical High $64.57 | Professional | UE · Used equipment | $30.90 | $35.48 | $64.57 |
Blue Shield Setting Facility Modifier None Typical Low $61.66 Median $93.33 Typical High $147.91 | Facility | None | $61.66 | $93.33 | $147.91 |
Blue Shield Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $263.03 | Professional | None | $38.90 | $63.10 | $263.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $41.69 | Facility | None | $40.74 | $40.74 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $43.65 | Professional | None | $34.67 | $40.74 | $43.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $60.26 | Professional | None | $50.12 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $77.62 | Professional | None | $38.90 | $44.67 | $77.62 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.89 Median $4.47 Typical High $8.71 | Professional | RR · Rental | $3.89 | $4.47 | $8.71 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $33.88 Typical High $54.95 | Professional | UE · Used equipment | $28.84 | $33.88 | $54.95 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $40.74 Typical High $64.57 | Facility | None | $21.38 | $40.74 | $64.57 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | None | $34.67 | $40.74 | $40.74 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Sutter Health Plus Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | UE · Used equipment | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $151.36 | Professional | None | $23.99 | $30.90 | $151.36 |
United Setting Professional Modifier RR · Rental Typical Low $2.40 Median $3.09 Typical High $16.98 | Professional | RR · Rental | $2.40 | $3.09 | $16.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $22.91 Typical High $125.89 | Professional | UE · Used equipment | $17.78 | $22.91 | $125.89 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | MS · Maintenance fee | $2.00 | $2.00 | $2.00 |
Kaiser Permanente Setting Professional Modifier KE · Bid item, non-bid base Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | KE · Bid item, non-bid base | $41.69 | $47.86 | $79.43 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $38.90 Median $44.67 Typical High $74.13 | Professional | KU · Bidding program group 3 | $38.90 | $44.67 | $74.13 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KE · Bid item, non-bid base | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | KU · Bidding program group 3 | $120.23 | $120.23 | $120.23 |
Where California sits
The same service costs 2.3 times more in Kansas than in Illinois. 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· 29th of 51
$44.67
KS $70.79IL $30.90
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.