How much rates vary
Facilitymedian $58 · 10th to 90th $7 to $195Professionalmedian $59 · 10th to 90th $35 to $112
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 $25.12 Median $28.18 Typical High $28.18 | Facility | None | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $50.12 | Professional | None | $25.12 | $28.18 | $50.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $20.89 Typical High $36.31 | Professional | UE · Used equipment | $19.05 | $20.89 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $120.23 Typical High $257.04 | Facility | None | $6.17 | $120.23 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $102.33 | Professional | None | $57.54 | $64.57 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $6.46 Typical High $10.72 | Professional | RR · Rental | $5.75 | $6.46 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $48.98 Typical High $81.28 | Professional | UE · Used equipment | $43.65 | $48.98 | $81.28 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $190.55 | Facility | None | $79.43 | $131.83 | $190.55 |
Blue Shield Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $323.59 | Professional | None | $47.86 | $87.10 | $323.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | None | $61.66 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Facility | None | $46.77 | $46.77 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $52.48 | Professional | None | $39.81 | $46.77 | $52.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | None | $61.66 | $72.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $109.65 | Professional | None | $54.95 | $64.57 | $109.65 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $5.50 Median $6.46 Typical High $10.96 | Professional | RR · Rental | $5.50 | $6.46 | $10.96 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | UE · Used equipment | $41.69 | $47.86 | $79.43 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $91.20 | Facility | None | $28.84 | $46.77 | $91.20 |
Providence Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $52.48 | Professional | None | $39.81 | $46.77 | $52.48 |
Providence Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.80 | $3.80 | $3.80 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | RR · Rental | $14.79 | $14.79 | $14.79 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | UE · Used equipment | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $186.21 | Professional | None | $29.51 | $38.90 | $186.21 |
United Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.89 Typical High $23.99 | Professional | RR · Rental | $2.95 | $3.89 | $23.99 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $28.84 Typical High $177.83 | Professional | UE · Used equipment | $22.39 | $28.84 | $177.83 |
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 $54.95 Median $64.57 Typical High $104.71 | Professional | KU · Bidding program group 3 | $54.95 | $64.57 | $104.71 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | KU · Bidding program group 3 | $169.82 | $169.82 | $169.82 |
Where California sits
The same service costs 2.1 times more in Montana than in Arizona. 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
$58.88
MT $87.10AZ $40.74
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.