How much rates vary
Facilitymedian $42 · 10th to 90th $5 to $135Professionalmedian $40 · 10th to 90th $23 to $78
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 $16.98 Median $19.05 Typical High $19.05 | Facility | None | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $33.88 | Professional | None | $16.98 | $19.05 | $33.88 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | RR · Rental | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $14.13 Typical High $25.12 | Professional | UE · Used equipment | $12.88 | $14.13 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.17 Median $81.28 Typical High $177.83 | Facility | None | $4.17 | $81.28 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $70.79 | Professional | None | $39.81 | $44.67 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.98 Median $4.47 Typical High $7.41 | Professional | RR · Rental | $3.98 | $4.47 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $33.88 Typical High $57.54 | Professional | UE · Used equipment | $29.51 | $33.88 | $57.54 |
Blue Shield Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $128.82 | Facility | None | $53.70 | $89.13 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $223.87 | Professional | None | $32.36 | $58.88 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $40.74 | Professional | None | $30.90 | $36.31 | $40.74 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | UE · Used equipment | $19.50 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $74.13 | Professional | None | $37.15 | $43.65 | $74.13 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.72 Median $4.37 Typical High $7.41 | Professional | RR · Rental | $3.72 | $4.37 | $7.41 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $32.36 Typical High $53.70 | Professional | UE · Used equipment | $28.18 | $32.36 | $53.70 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $61.66 | Facility | None | $19.05 | $36.31 | $61.66 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | None | $30.90 | $36.31 | $36.31 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | UE · Used equipment | $19.50 | $19.50 | $19.50 |
Sutter Health Plus Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $125.89 | Professional | None | $20.42 | $26.92 | $125.89 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.69 Typical High $16.22 | Professional | RR · Rental | $2.04 | $2.69 | $16.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $19.95 Typical High $120.23 | Professional | UE · Used equipment | $15.14 | $19.95 | $120.23 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | MS · Maintenance fee | $1.91 | $1.91 | $1.91 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $37.15 Median $43.65 Typical High $72.44 | Professional | KU · Bidding program group 3 | $37.15 | $43.65 | $72.44 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KU · Bidding program group 3 | $114.82 | $114.82 | $114.82 |
Where California sits
The same service costs 2.6 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· 29th of 51
$39.81
KS $74.13IL $28.18
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.