How much rates vary
Facilitymedian $48 · 10th to 90th $5 to $174Professionalmedian $47 · 10th to 90th $26 to $98
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 $18.62 Median $20.89 Typical High $20.89 | Facility | None | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $38.90 | Professional | None | $18.62 | $20.89 | $38.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $15.85 Typical High $28.84 | Professional | UE · Used equipment | $14.13 | $15.85 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $104.71 Typical High $223.87 | Facility | None | $4.57 | $104.71 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $89.13 | Professional | None | $43.65 | $50.12 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.01 Typical High $9.33 | Professional | RR · Rental | $4.37 | $5.01 | $9.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $38.02 Typical High $69.18 | Professional | UE · Used equipment | $32.36 | $38.02 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $162.18 | Facility | None | $66.07 | $97.72 | $162.18 |
Blue Shield Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $288.40 | Professional | None | $41.69 | $67.61 | $288.40 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | None | $51.29 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $47.86 | Professional | None | $38.02 | $44.67 | $47.86 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | RR · Rental | $2.95 | $2.95 | $5.25 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | None | $51.29 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $83.18 | Professional | None | $41.69 | $47.86 | $83.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.90 Typical High $8.51 | Professional | RR · Rental | $4.17 | $4.90 | $8.51 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $36.31 Typical High $60.26 | Professional | UE · Used equipment | $30.90 | $36.31 | $60.26 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $44.67 Typical High $69.18 | Facility | None | $22.39 | $44.67 | $69.18 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | RR · Rental | $2.95 | $2.95 | $5.25 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $162.18 | Professional | None | $23.44 | $30.90 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $2.45 Median $3.24 Typical High $16.98 | Professional | RR · Rental | $2.45 | $3.24 | $16.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $23.44 Typical High $125.89 | Professional | UE · Used equipment | $18.20 | $23.44 | $125.89 |
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 $44.67 Median $52.48 Typical High $85.11 | Professional | KE · Bid item, non-bid base | $44.67 | $52.48 | $85.11 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | KU · Bidding program group 3 | $41.69 | $47.86 | $79.43 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KE · Bid item, non-bid base | $134.90 | $134.90 | $134.90 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | KU · Bidding program group 3 | $128.82 | $128.82 | $128.82 |
Where California sits
The same service costs 3.8 times more in Hawaii 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· 31st of 51
$46.77
HI $123IL $32.36
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.