How much rates vary
Facilitymedian $83 · 10th to 90th $10 to $282Professionalmedian $81 · 10th to 90th $52 to $162
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 $38.02 Median $42.66 Typical High $42.66 | Facility | None | $38.02 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $72.44 | Professional | None | $38.02 | $42.66 | $72.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $32.36 Typical High $52.48 | Professional | UE · Used equipment | $28.84 | $32.36 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $169.82 Typical High $363.08 | Facility | None | $8.51 | $169.82 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $158.49 | Professional | None | $79.43 | $91.20 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $9.12 Typical High $15.49 | Professional | RR · Rental | $7.94 | $9.12 | $15.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $67.61 Typical High $134.90 | Professional | UE · Used equipment | $60.26 | $67.61 | $134.90 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $288.40 | Facility | None | $97.72 | $199.53 | $288.40 |
Blue Shield Setting Professional Modifier None Typical Low $72.44 Median $131.83 Typical High $467.74 | Professional | None | $72.44 | $131.83 | $467.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | None | $89.13 | $89.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Facility | None | $74.13 | $74.13 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $89.13 | Professional | None | $63.10 | $74.13 | $89.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | None | $97.72 | $117.49 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $158.49 | Professional | None | $79.43 | $93.33 | $158.49 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.94 Median $9.33 Typical High $15.85 | Professional | RR · Rental | $7.94 | $9.33 | $15.85 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $70.79 Typical High $114.82 | Professional | UE · Used equipment | $60.26 | $70.79 | $114.82 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $141.25 | Facility | None | $43.65 | $74.13 | $141.25 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | None | $63.10 | $74.13 | $74.13 |
Providence Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $263.03 | Professional | None | $41.69 | $56.23 | $263.03 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.75 Typical High $35.48 | Professional | RR · Rental | $4.47 | $5.75 | $35.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $42.66 Typical High $269.15 | Professional | UE · Used equipment | $32.36 | $42.66 | $269.15 |
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 $79.43 Median $93.33 Typical High $154.88 | Professional | KU · Bidding program group 3 | $79.43 | $93.33 | $154.88 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | KU · Bidding program group 3 | $257.04 | $257.04 | $257.04 |
Where California sits
The same service costs 3.0 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
$81.28
KS $182IL $60.26
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.