How much rates vary
Facilitymedian $89 · 10th to 90th $11 to $288Professionalmedian $89 · 10th to 90th $52 to $166
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 $75.86 | Professional | None | $38.02 | $42.66 | $75.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $31.62 Typical High $54.95 | Professional | UE · Used equipment | $28.84 | $31.62 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $173.78 Typical High $380.19 | Facility | None | $9.33 | $173.78 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $158.49 | Professional | None | $85.11 | $95.50 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $9.55 Typical High $15.85 | Professional | RR · Rental | $8.51 | $9.55 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $70.79 Typical High $120.23 | Professional | UE · Used equipment | $63.10 | $70.79 | $120.23 |
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 $128.82 Typical High $478.63 | Professional | None | $72.44 | $128.82 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None | $91.20 | $91.20 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $97.72 | Professional | None | $66.07 | $77.62 | $97.72 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
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 $81.28 Median $95.50 Typical High $162.18 | Professional | None | $81.28 | $95.50 | $162.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $8.13 Median $9.55 Typical High $18.62 | Professional | RR · Rental | $8.13 | $9.55 | $18.62 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | UE · Used equipment | $61.66 | $72.44 | $117.49 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $77.62 Typical High $138.04 | Facility | None | $43.65 | $77.62 | $138.04 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | None | $66.07 | $77.62 | $77.62 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | RR · Rental | $21.88 | $21.88 | $21.88 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | UE · Used equipment | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $269.15 | Professional | None | $43.65 | $57.54 | $269.15 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.75 Typical High $36.31 | Professional | RR · Rental | $4.47 | $5.75 | $36.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $43.65 Typical High $269.15 | Professional | UE · Used equipment | $33.11 | $43.65 | $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 $81.28 Median $95.50 Typical High $158.49 | Professional | KU · Bidding program group 3 | $81.28 | $95.50 | $158.49 |
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 2.8 times more in Kansas than in New Mexico. 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· 26th of 51
$89.13
KS $155NM $56.23
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.