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Clinic Visits and Related Services

California rates for APC 5012

Clinic Visits and Related Services

Rates data updated October 2026.

How much does Clinic Visits and Related Services cost?

$224

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $186 to $331.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $224 · 10th to 90th $129 to $513
$100$200$500facility $224

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$251.19
Typical High
$588.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$302.00
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$281.84
Providence
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$302.00

Where California sits

The same service costs 5.2 times more in Maine than in South Dakota. 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· 28th of 40

$224

ME $589SD $112

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.