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 Facility Modifier None Typical Low $14.45 Median $33.88 Typical High $154.88 | Facility | None | $14.45 | $33.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $23.44 | Professional | None | $14.45 | $20.89 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $75.86 Typical High $79.43 | Professional | None | $20.89 | $75.86 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $208.93 | Facility | None | $48.98 | $117.49 | $208.93 |
Blue Shield Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $26.92 | Professional | None | $15.14 | $21.38 | $26.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $26.92 | Professional | None | $13.80 | $21.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $316.23 Typical High $316.23 | Facility | None | $14.13 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $36.31 | Professional | None | $16.98 | $23.99 | $36.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $28.84 | Professional | None | $9.12 | $13.80 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $40.74 | Professional | None | $15.85 | $20.89 | $40.74 |
Lucent Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | None | $144.54 | $144.54 | $162.18 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $70.79 | Professional | None | $10.00 | $12.88 | $70.79 |
Optum Setting Professional Modifier None Typical Low $10.00 Median $54.95 Typical High $70.79 | Professional | None | $10.00 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $53.70 | Facility | None | $21.38 | $30.20 | $53.70 |
Providence Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $36.31 | Professional | None | $16.60 | $23.44 | $36.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $69.18 | Professional | None | $10.00 | $10.00 | $69.18 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $35.48 | Professional | None | $18.20 | $21.38 | $35.48 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | GP · Physical therapy plan | $19.05 | $19.05 | $19.05 |
Where California sits
The same service costs 3.0 times more in Alaska than in Delaware. 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· 15th of 51
$23.44
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.