How much rates vary
Facilitymedian $17 · 10th to 90th $2 to $58Professionalmedian $16 · 10th to 90th $9 to $34
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 $6.46 Median $7.24 Typical High $7.24 | Facility | None | $6.46 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $14.13 | Professional | None | $6.46 | $7.24 | $14.13 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | RR · Rental | $0.72 | $0.72 | $0.72 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $5.37 Typical High $10.23 | Professional | UE · Used equipment | $4.79 | $5.37 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.58 Median $36.31 Typical High $77.62 | Facility | None | $1.58 | $36.31 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $33.88 | Professional | None | $15.14 | $17.38 | $33.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.74 Typical High $3.09 | Professional | RR · Rental | $1.51 | $1.74 | $3.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $12.88 Typical High $22.91 | Professional | UE · Used equipment | $11.22 | $12.88 | $22.91 |
Blue Shield Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $56.23 | Facility | None | $22.39 | $33.88 | $56.23 |
Blue Shield Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $100.00 | Professional | None | $14.13 | $22.91 | $100.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None | $17.78 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Facility | None | $15.14 | $15.14 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $19.95 | Professional | None | $12.88 | $15.14 | $19.95 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $21.38 | Professional | None | $17.78 | $21.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $28.18 | Professional | None | $14.13 | $16.60 | $28.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.66 Typical High $2.82 | Professional | RR · Rental | $1.41 | $1.66 | $2.82 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $12.30 Typical High $20.42 | Professional | UE · Used equipment | $10.72 | $12.30 | $20.42 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $15.14 Typical High $23.44 | Facility | None | $7.76 | $15.14 | $23.44 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $16.22 | Professional | None | $12.88 | $15.14 | $16.22 |
Providence Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
Sutter Health Plus Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $4.37 | $4.37 | $4.37 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | UE · Used equipment | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.48 Typical High $56.23 | Professional | None | $8.91 | $11.48 | $56.23 |
United Setting Professional Modifier RR · Rental Typical Low $0.89 Median $1.15 Typical High $6.17 | Professional | RR · Rental | $0.89 | $1.15 | $6.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $8.51 Typical High $45.71 | Professional | UE · Used equipment | $6.76 | $8.51 | $45.71 |
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 $0.72 Median $0.72 Typical High $0.72 | Professional | MS · Maintenance fee | $0.72 | $0.72 | $0.72 |
Kaiser Permanente Setting Professional Modifier KE · Bid item, non-bid base Typical Low $15.14 Median $17.78 Typical High $29.51 | Professional | KE · Bid item, non-bid base | $15.14 | $17.78 | $29.51 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $14.13 Median $16.60 Typical High $26.92 | Professional | KU · Bidding program group 3 | $14.13 | $16.60 | $26.92 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | KE · Bid item, non-bid base | $45.71 | $45.71 | $45.71 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KU · Bidding program group 3 | $43.65 | $43.65 | $43.65 |
Where California sits
The same service costs 2.3 times more in Kansas 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· 33rd of 51
$16.22
KS $24.55NM $10.72
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.