How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $123.03 Median $169.82 Typical High $363.08 | Facility | Global | $123.03 | $169.82 | $363.08 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $162.18 Median $389.05 Typical High $446.68 | Facility | 25 · Same-day visit | $162.18 | $389.05 | $446.68 |
Aetna Setting Professional Modifier Global Typical Low $123.03 Median $194.98 Typical High $524.81 | Professional | Global | $123.03 | $194.98 | $524.81 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $107.15 Median $199.53 Typical High $549.54 | Professional | 25 · Same-day visit | $107.15 | $199.53 | $549.54 |
Ambetter Setting Professional Modifier Global Typical Low $114.82 Median $169.82 Typical High $251.19 | Professional | Global | $114.82 | $169.82 | $251.19 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $134.90 Median $173.78 Typical High $251.19 | Professional | 25 · Same-day visit | $134.90 | $173.78 | $251.19 |
Anthem BCBS Setting Facility Modifier Global Typical Low $134.90 Median $165.96 Typical High $186.21 | Facility | Global | $134.90 | $165.96 | $186.21 |
Anthem BCBS Setting Professional Modifier Global Typical Low $123.03 Median $173.78 Typical High $302.00 | Professional | Global | $123.03 | $173.78 | $302.00 |
Blue Shield Setting Facility Modifier Global Typical Low $79.43 Median $85.11 Typical High $87.10 | Facility | Global | $79.43 | $85.11 | $87.10 |
Blue Shield Setting Professional Modifier Global Typical Low $100.00 Median $114.82 Typical High $316.23 | Professional | Global | $100.00 | $114.82 | $316.23 |
Cigna Setting Facility Modifier Global Typical Low $123.03 Median $151.36 Typical High $229.09 | Facility | Global | $123.03 | $151.36 | $229.09 |
Cigna Setting Professional Modifier Global Typical Low $128.82 Median $181.97 Typical High $323.59 | Professional | Global | $128.82 | $181.97 | $323.59 |
Contra Costa Health Setting Professional Modifier Global Typical Low $69.18 Median $128.82 Typical High $257.04 | Professional | Global | $69.18 | $128.82 | $257.04 |
HealthNet Setting Professional Modifier Global Typical Low $199.53 Median $407.38 Typical High $616.60 | Professional | Global | $199.53 | $407.38 | $616.60 |
HealthNet Setting Professional Modifier 25 · Same-day visit Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | 25 · Same-day visit | $194.98 | $194.98 | $199.53 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $112.20 Median $181.97 Typical High $309.03 | Professional | Global | $112.20 | $181.97 | $309.03 |
Lucent Health Setting Facility Modifier Global Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | Global | $831.76 | $831.76 | $831.76 |
Lucent Health Setting Professional Modifier Global Typical Low $138.04 Median $239.88 Typical High $1,047.13 | Professional | Global | $138.04 | $239.88 | $1,047.13 |
Molina Setting Professional Modifier Global Typical Low $75.86 Median $93.33 Typical High $239.88 | Professional | Global | $75.86 | $93.33 | $239.88 |
Optum Setting Professional Modifier Global Typical Low $141.25 Median $190.55 Typical High $269.15 | Professional | Global | $141.25 | $190.55 | $269.15 |
Providence Setting Facility Modifier Global Typical Low $112.20 Median $173.78 Typical High $275.42 | Facility | Global | $112.20 | $173.78 | $275.42 |
Providence Setting Professional Modifier Global Typical Low $128.82 Median $186.21 Typical High $363.08 | Professional | Global | $128.82 | $186.21 | $363.08 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $75.86 Median $331.13 Typical High $426.58 | Professional | Global | $75.86 | $331.13 | $426.58 |
The Alliance Setting Professional Modifier Global Typical Low $69.18 Median $104.71 Typical High $194.98 | Professional | Global | $69.18 | $104.71 | $194.98 |
United Setting Facility Modifier Global Typical Low $69.18 Median $141.25 Typical High $208.93 | Facility | Global | $69.18 | $141.25 | $208.93 |
United Setting Professional Modifier Global Typical Low $102.33 Median $158.49 Typical High $309.03 | Professional | Global | $102.33 | $158.49 | $309.03 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $131.83 Typical High $251.19 | Professional | 25 · Same-day visit | $79.43 | $131.83 | $251.19 |
Where California sits
Rates are fairly even across states for this service. 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· 5th of 51
$191
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.