How much rates vary
Facilitymedian $45 · 10th to 90th $5 to $158Professionalmedian $44 · 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 $17.38 Median $19.50 Typical High $19.50 | Facility | None | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $38.02 | Professional | None | $17.38 | $19.50 | $38.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $14.45 Typical High $26.92 | Professional | UE · Used equipment | $12.88 | $14.45 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $95.50 Typical High $204.17 | Facility | None | $4.27 | $95.50 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $83.18 | Professional | None | $40.74 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.68 Typical High $8.13 | Professional | RR · Rental | $4.07 | $4.68 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $34.67 Typical High $67.61 | Professional | UE · Used equipment | $30.20 | $34.67 | $67.61 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $147.91 | Facility | None | $60.26 | $91.20 | $147.91 |
Blue Shield Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $263.03 | Professional | None | $38.02 | $61.66 | $263.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $50.12 | Professional | None | $46.77 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $43.65 | Professional | None | $33.88 | $39.81 | $43.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | None | $46.77 | $56.23 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $43.65 Typical High $75.86 | Professional | None | $38.02 | $43.65 | $75.86 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.37 Typical High $7.59 | Professional | RR · Rental | $3.80 | $4.37 | $7.59 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $33.11 Typical High $54.95 | Professional | UE · Used equipment | $28.18 | $33.11 | $54.95 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $39.81 Typical High $63.10 | Facility | None | $20.89 | $39.81 | $63.10 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | None | $33.88 | $39.81 | $39.81 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $147.91 | Professional | None | $23.44 | $30.20 | $147.91 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.02 Typical High $16.22 | Professional | RR · Rental | $2.34 | $3.02 | $16.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $22.39 Typical High $123.03 | Professional | UE · Used equipment | $17.78 | $22.39 | $123.03 |
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 $40.74 Median $47.86 Typical High $77.62 | Professional | KE · Bid item, non-bid base | $40.74 | $47.86 | $77.62 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $38.02 Median $43.65 Typical High $72.44 | Professional | KU · Bidding program group 3 | $38.02 | $43.65 | $72.44 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | KE · Bid item, non-bid base | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KU · Bidding program group 3 | $117.49 | $117.49 | $117.49 |
Where California sits
The same service costs 3.4 times more in Wisconsin than in Kansas. 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· 28th of 51
$43.65
WI $63.10KS $18.62
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.