How much rates vary
Facilitymedian $32 · 10th to 90th $25 to $263Professionalmedian $257 · 10th to 90th $23 to $269
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 Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $416.87 | Professional | None | $218.78 | $275.42 | $416.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $208.93 Typical High $309.03 | Professional | UE · Used equipment | $165.96 | $208.93 | $309.03 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $34.67 | $38.90 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $32.36 Typical High $131.83 | Facility | None | $25.12 | $32.36 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $380.19 | Professional | None | $257.04 | $257.04 | $380.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $43.65 | Professional | RR · Rental | $25.70 | $25.70 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $275.42 | Professional | UE · Used equipment | $194.98 | $194.98 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $131.83 | Facility | None | $56.23 | $87.10 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | None | $338.84 | $338.84 | $380.19 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.09 Typical High $5.89 | Professional | RR · Rental | $2.00 | $3.09 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $40.74 | Facility | None | $31.62 | $31.62 | $40.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $33.88 | Facility | RR · Rental | $31.62 | $31.62 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
HealthNet Setting Professional Modifier RR · Rental Typical Low $38.02 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $38.02 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $93.33 | Professional | RR · Rental | $43.65 | $51.29 | $93.33 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $251.19 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $251.19 | $371.54 | $371.54 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $31.62 Typical High $331.13 | Facility | None | $15.14 | $31.62 | $331.13 |
Providence Setting Facility Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $33.88 | Facility | RR · Rental | $31.62 | $31.62 | $33.88 |
Providence Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Providence Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | None | $22.91 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $38.90 Typical High $85.11 | Professional | RR · Rental | $22.91 | $38.90 | $85.11 |
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 Facility Modifier MS · Maintenance fee + RR · Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | MS · Maintenance fee + RR · Rental | $14.45 | $14.45 | $14.45 |
Sutter Health Plus Setting Professional Modifier MS · Maintenance fee Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | MS · Maintenance fee | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier MS · Maintenance fee Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | MS · Maintenance fee | $44.67 | $44.67 | $44.67 |
Where California sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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
$257
WY $676HI $22.39
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.