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 $22.91 Typical High $23.99 | Facility | None | $14.45 | $22.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $40.74 | Professional | None | $14.45 | $22.91 | $40.74 |
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 $35.48 Median $75.86 Typical High $79.43 | Professional | None | $35.48 | $75.86 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $97.72 Typical High $162.18 | Facility | None | $44.67 | $97.72 | $162.18 |
Blue Shield Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $38.02 | Professional | None | $21.88 | $31.62 | $38.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $21.88 Median $38.90 Typical High $47.86 | Professional | None | $21.88 | $38.90 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $316.23 Typical High $316.23 | Facility | None | $24.55 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $58.88 | Professional | None | $22.39 | $29.51 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $42.66 Typical High $51.29 | Professional | None | $11.48 | $42.66 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $67.61 | Professional | None | $28.18 | $38.02 | $67.61 |
Lucent Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $281.84 | Professional | None | $213.80 | $213.80 | $281.84 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $70.79 | Professional | None | $12.59 | $16.22 | $70.79 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $67.61 | Facility | None | $22.91 | $34.67 | $67.61 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $57.54 | Professional | None | $22.39 | $28.84 | $57.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $54.95 | Professional | None | $26.30 | $35.48 | $54.95 |
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 $33.88 Typical High $33.88 | Professional | GP · Physical therapy plan | $30.20 | $33.88 | $33.88 |
Where California sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 20th of 51
$33.11
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.