How much rates vary
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 $36.31 Median $40.74 Typical High $40.74 | Facility | None | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $67.61 | Professional | None | $36.31 | $40.74 | $67.61 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $30.20 Typical High $51.29 | Professional | UE · Used equipment | $27.54 | $30.20 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $165.96 Typical High $363.08 | Facility | None | $8.71 | $165.96 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $151.36 | Professional | None | $81.28 | $91.20 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.13 Median $9.12 Typical High $15.14 | Professional | RR · Rental | $8.13 | $9.12 | $15.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $67.61 Typical High $117.49 | Professional | UE · Used equipment | $60.26 | $67.61 | $117.49 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $275.42 | Facility | None | $97.72 | $190.55 | $275.42 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $125.89 Typical High $457.09 | Professional | None | $69.18 | $125.89 | $457.09 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | None | $87.10 | $87.10 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Facility | None | $74.13 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | None | $63.10 | $74.13 | $97.72 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $8.91 | Professional | RR · Rental | $5.50 | $5.50 | $8.91 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $41.69 | $41.69 | $41.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | None | $93.33 | $112.20 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $154.88 | Professional | None | $77.62 | $91.20 | $154.88 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.76 Median $9.12 Typical High $17.38 | Professional | RR · Rental | $7.76 | $9.12 | $17.38 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $67.61 Typical High $112.20 | Professional | UE · Used equipment | $58.88 | $67.61 | $112.20 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $131.83 | Facility | None | $40.74 | $74.13 | $131.83 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $79.43 | Professional | None | $63.10 | $74.13 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $9.33 | Professional | RR · Rental | $5.50 | $5.50 | $9.33 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $41.69 | $41.69 | $41.69 |
Sutter Health Plus Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | RR · Rental | $20.89 | $20.89 | $20.89 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $263.03 | Professional | None | $40.74 | $54.95 | $263.03 |
United Setting Professional Modifier RR · Rental Typical Low $4.27 Median $5.50 Typical High $34.67 | Professional | RR · Rental | $4.27 | $5.50 | $34.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $41.69 Typical High $257.04 | Professional | UE · Used equipment | $31.62 | $41.69 | $257.04 |
2 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 KU · Bidding program group 3 Typical Low $77.62 Median $91.20 Typical High $147.91 | Professional | KU · Bidding program group 3 | $77.62 | $91.20 | $147.91 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KU · Bidding program group 3 | $245.47 | $245.47 | $245.47 |
Where California sits
The same service costs 4.6 times more in Kansas 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· 28th of 51
$81.28
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.