How much rates vary
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 $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $63.10 | Professional | None | $31.62 | $31.62 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $7,762.47 Typical High $20,892.96 | Facility | None | $3,235.94 | $7,762.47 | $20,892.96 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $1,479.11 | Facility | None | $95.50 | $416.87 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $79.43 | Professional | None | $40.74 | $47.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $28,840.32 | Facility | None | $50.12 | $66.07 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $43.65 Typical High $109.65 | Professional | None | $10.00 | $43.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $831.76 | Professional | None | $407.38 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $151,356.12 Typical High $251,188.64 | Facility | None | $52.48 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $43.65 Typical High $79.43 | Professional | None | $10.96 | $43.65 | $79.43 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | GP · Physical therapy plan | $30.20 | $30.20 | $30.20 |
Where California sits
The same service costs 83.2 times more in Colorado than in Michigan. 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· 21st of 51
$417
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.