How much rates vary
Facilitymedian $26 · 10th to 90th $3 to $81Professionalmedian $25 · 10th to 90th $14 to $47
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 $10.00 Median $11.22 Typical High $11.22 | Facility | None | $10.00 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $19.95 | Professional | None | $10.00 | $11.22 | $19.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $8.32 Typical High $14.79 | Professional | UE · Used equipment | $7.41 | $8.32 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $48.98 Typical High $107.15 | Facility | None | $2.45 | $48.98 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $42.66 | Professional | None | $23.44 | $26.92 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.69 Typical High $4.27 | Professional | RR · Rental | $2.34 | $2.69 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.95 Typical High $33.88 | Professional | UE · Used equipment | $17.38 | $19.95 | $33.88 |
Blue Shield Setting Facility Modifier None Typical Low $33.11 Median $53.70 Typical High $77.62 | Facility | None | $33.11 | $53.70 | $77.62 |
Blue Shield Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $134.90 | Professional | None | $26.30 | $34.67 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | None | $25.70 | $25.70 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $28.84 | Facility | None | $22.39 | $22.39 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $29.51 | Professional | None | $19.05 | $22.39 | $29.51 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | RR · Rental | $1.51 | $1.51 | $1.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | UE · Used equipment | $11.48 | $11.48 | $11.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $34.67 | Professional | None | $28.84 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $44.67 | Professional | None | $22.39 | $25.70 | $44.67 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.63 Typical High $5.01 | Professional | RR · Rental | $2.24 | $2.63 | $5.01 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $19.50 Typical High $32.36 | Professional | UE · Used equipment | $16.60 | $19.50 | $32.36 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $22.39 Typical High $37.15 | Facility | None | $11.48 | $22.39 | $37.15 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $23.99 | Professional | None | $19.05 | $22.39 | $23.99 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | RR · Rental | $1.51 | $1.51 | $1.51 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | UE · Used equipment | $11.48 | $11.48 | $11.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $6.17 | $6.17 | $6.17 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $77.62 | Professional | None | $12.30 | $16.60 | $77.62 |
United Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.70 Typical High $9.77 | Professional | RR · Rental | $1.29 | $1.70 | $9.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.55 Median $12.59 Typical High $72.44 | Professional | UE · Used equipment | $9.55 | $12.59 | $72.44 |
4 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 KE · Bid item, non-bid base Typical Low $23.99 Median $28.18 Typical High $45.71 | Professional | KE · Bid item, non-bid base | $23.99 | $28.18 | $45.71 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $22.39 Median $25.70 Typical High $42.66 | Professional | KU · Bidding program group 3 | $22.39 | $25.70 | $42.66 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | KE · Bid item, non-bid base | $67.61 | $67.61 | $67.61 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KU · Bidding program group 3 | $69.18 | $69.18 | $69.18 |
Where California sits
The same service costs 2.4 times more in Hawaii 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· 32nd of 51
$24.55
HI $38.90NM $16.22
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.