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California rates for HCPCS 90785

Interactive complexity (List separately in addition to the code for primary procedure)

Facilitymedian $15 · 10th–90th $5$210%10%20%10th90th$15Professionalmedian $14 · 10th–90th $7$390%10%10th90th$14$1.0$5.0$20.0$100.0$500.0

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
$12.02 / $14.13 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.22 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.63 / $3.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.89 / $32.36
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.24 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $12.88 / $21.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $12.88 / $20.89
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $169.82 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $20.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $117.49 / $117.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.38 / $25.70
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $13.80 / $19.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $22.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $13.18 / $23.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $48.98
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $11.75 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $14.13 / $28.84