How much rates vary
Facilitymedian $14 · 10th to 90th $2 to $51Professionalmedian $14 · 10th to 90th $8 to $26
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 $5.50 Median $6.17 Typical High $6.17 | Facility | None | $5.50 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $12.02 | Professional | None | $5.50 | $6.17 | $12.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.07 Median $4.57 Typical High $8.71 | Professional | UE · Used equipment | $4.07 | $4.57 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.35 Median $30.90 Typical High $66.07 | Facility | None | $1.35 | $30.90 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $26.30 | Professional | None | $12.88 | $14.79 | $26.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.48 Typical High $2.88 | Professional | RR · Rental | $1.29 | $1.48 | $2.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.55 Median $10.96 Typical High $19.95 | Professional | UE · Used equipment | $9.55 | $10.96 | $19.95 |
Blue Shield Setting Facility Modifier None Typical Low $19.05 Median $28.84 Typical High $47.86 | Facility | None | $19.05 | $28.84 | $47.86 |
Blue Shield Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $85.11 | Professional | None | $12.02 | $19.95 | $85.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | None | $15.49 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $14.13 | Professional | None | $11.22 | $13.18 | $14.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | RR · Rental | $0.83 | $0.83 | $0.83 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | UE · Used equipment | $6.31 | $6.31 | $6.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $18.62 | Professional | None | $15.49 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $23.99 | Professional | None | $12.02 | $14.13 | $23.99 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.41 Typical High $2.40 | Professional | RR · Rental | $1.20 | $1.41 | $2.40 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $10.47 Typical High $17.38 | Professional | UE · Used equipment | $9.12 | $10.47 | $17.38 |
Providence Setting Facility Modifier None Typical Low $6.61 Median $13.18 Typical High $19.95 | Facility | None | $6.61 | $13.18 | $19.95 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $13.18 | Professional | None | $11.22 | $13.18 | $13.18 |
Providence Setting Professional Modifier RR · Rental Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | RR · Rental | $0.83 | $0.83 | $0.83 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | UE · Used equipment | $6.31 | $6.31 | $6.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | RR · Rental | $3.72 | $3.72 | $3.72 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $47.86 | Professional | None | $7.59 | $9.77 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $0.78 Median $0.98 Typical High $5.25 | Professional | RR · Rental | $0.78 | $0.98 | $5.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.75 Median $7.41 Typical High $38.90 | Professional | UE · Used equipment | $5.75 | $7.41 | $38.90 |
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 $12.88 Median $15.14 Typical High $25.12 | Professional | KE · Bid item, non-bid base | $12.88 | $15.14 | $25.12 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $12.02 Median $14.13 Typical High $22.91 | Professional | KU · Bidding program group 3 | $12.02 | $14.13 | $22.91 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | KE · Bid item, non-bid base | $39.81 | $39.81 | $39.81 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | KU · Bidding program group 3 | $37.15 | $37.15 | $37.15 |
Where California sits
The same service costs 2.7 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· 30th of 51
$14.13
KS $25.12NM $9.33
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.