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 $117.49 | Facility | None | $14.45 | $22.91 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $22.39 Typical High $31.62 | Professional | None | $14.45 | $22.39 | $31.62 |
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 $47.86 Median $75.86 Typical High $85.11 | Professional | None | $47.86 | $75.86 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $102.33 Typical High $162.18 | Facility | None | $44.67 | $102.33 | $162.18 |
Blue Shield Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $34.67 | Professional | None | $19.95 | $28.84 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $316.23 Typical High $316.23 | Facility | None | $30.20 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $64.57 | Professional | None | $22.39 | $29.51 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | None | $51.29 | $56.23 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $79.43 | Professional | None | $33.88 | $45.71 | $79.43 |
Lucent Health Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | None | $263.03 | $338.84 | $338.84 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
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 $22.39 Median $33.11 Typical High $61.66 | Facility | None | $22.39 | $33.11 | $61.66 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $64.57 | Professional | None | $22.39 | $29.51 | $64.57 |
Sutter Health Plus Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $66.07 | Professional | None | $26.30 | $42.66 | $66.07 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | GP · Physical therapy plan | $28.84 | $28.84 | $28.84 |
Where California sits
The same service costs 3.8 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· 33rd of 51
$34.67
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.