How much rates vary
Facilitymedian $39 · 10th to 90th $3 to $107Professionalmedian $29 · 10th to 90th $15 to $56
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 $10.72 Median $12.02 Typical High $12.02 | Facility | None | $10.72 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $22.39 | Professional | None | $10.72 | $12.02 | $22.39 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.91 Typical High $16.98 | Professional | UE · Used equipment | $8.13 | $8.91 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.63 Median $60.26 Typical High $128.82 | Facility | None | $2.63 | $60.26 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $51.29 | Professional | None | $25.12 | $28.84 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.88 Typical High $5.13 | Professional | RR · Rental | $2.51 | $2.88 | $5.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $21.38 Typical High $37.15 | Professional | UE · Used equipment | $18.62 | $21.38 | $37.15 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $56.23 Typical High $93.33 | Facility | None | $37.15 | $56.23 | $93.33 |
Blue Shield Setting Professional Modifier None Typical Low $19.05 Median $36.31 Typical High $165.96 | Professional | None | $19.05 | $36.31 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | None | $29.51 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $30.20 Typical High $38.02 | Facility | None | $19.05 | $30.20 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $38.02 | Professional | None | $16.22 | $32.36 | $38.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | RR · Rental | $1.62 | $1.62 | $1.62 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | UE · Used equipment | $12.30 | $12.30 | $12.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $46.77 | Professional | None | $23.44 | $27.54 | $46.77 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.75 Typical High $4.68 | Professional | RR · Rental | $2.34 | $2.75 | $4.68 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $20.42 Typical High $33.88 | Professional | UE · Used equipment | $17.78 | $20.42 | $33.88 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $38.90 | Facility | None | $12.30 | $26.92 | $38.90 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $32.36 | Professional | None | $16.22 | $30.20 | $32.36 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | RR · Rental | $1.62 | $1.62 | $1.62 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | UE · Used equipment | $12.30 | $12.30 | $12.30 |
Sutter Health Plus Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | RR · Rental | $7.08 | $7.08 | $7.08 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | UE · Used equipment | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $93.33 | Professional | None | $14.79 | $19.05 | $93.33 |
United Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.91 Typical High $10.00 | Professional | RR · Rental | $1.51 | $1.91 | $10.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $14.13 Typical High $75.86 | Professional | UE · Used equipment | $11.22 | $14.13 | $75.86 |
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 $25.12 Median $29.51 Typical High $48.98 | Professional | KE · Bid item, non-bid base | $25.12 | $29.51 | $48.98 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $23.44 Median $27.54 Typical High $44.67 | Professional | KU · Bidding program group 3 | $23.44 | $27.54 | $44.67 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KE · Bid item, non-bid base | $75.86 | $75.86 | $75.86 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | KU · Bidding program group 3 | $72.44 | $72.44 | $72.44 |
Where California sits
The same service costs 2.5 times more in Montana than in Rhode Island. 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· 25th of 51
$28.84
MT $40.74RI $16.22
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.