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California rates for HCPCS 86161

Complement; functional activity, each component

Facilitymedian $37 · 10th–90th $12$1350%10%10th90th$37Professionalmedian $11 · 10th–90th $8$460%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $45.71 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.41 / $8.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $28.18 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $40.74
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $81.28 / $190.55
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $21.38 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.49 / $30.20
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.02 / $19.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $26.92
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $14.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $30.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.32 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $24.55