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 $0.14 Median $0.14 Typical High $0.16 | Facility | None | $0.14 | $0.14 | $0.16 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.17 | Professional | None | $0.14 | $0.14 | $0.17 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.18 Median $0.22 Typical High $0.93 | Facility | None | $0.18 | $0.22 | $0.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.17 Median $0.21 Typical High $0.74 | Professional | None | $0.17 | $0.21 | $0.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.15 Median $0.18 Typical High $0.18 | Professional | UE · Used equipment | $0.15 | $0.18 | $0.18 |
Blue Shield Setting Facility Modifier None Typical Low $0.56 Median $0.76 Typical High $1.12 | Facility | None | $0.56 | $0.76 | $1.12 |
Blue Shield Setting Professional Modifier None Typical Low $0.58 Median $1.10 Typical High $1.95 | Professional | None | $0.58 | $1.10 | $1.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
Cigna Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.33 | Facility | None | $0.31 | $0.31 | $0.33 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.31 | Professional | None | $0.26 | $0.26 | $0.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $0.42 Median $0.56 Typical High $0.62 | Professional | None | $0.42 | $0.56 | $0.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.31 Median $0.47 Typical High $1.20 | Professional | None | $0.31 | $0.47 | $1.20 |
Lucent Health Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | None | $3.72 | $3.72 | $3.80 |
Molina Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $33.11 | Professional | None | $0.76 | $0.76 | $33.11 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $0.14 Median $0.31 Typical High $0.52 | Facility | None | $0.14 | $0.31 | $0.52 |
Providence Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.31 | Professional | None | $0.26 | $0.26 | $0.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | None | $0.98 | $0.98 | $0.98 |
United Setting Professional Modifier None Typical Low $0.21 Median $0.25 Typical High $0.65 | Professional | None | $0.21 | $0.25 | $0.65 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | RR · Rental | $0.21 | $0.21 | $0.21 |
Where California sits
The same service costs 17.0 times more in Kansas than in New Hampshire. 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· 37th of 51
$0.27
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.