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 $0.03 Median $0.03 Typical High $0.03 | Facility | None | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | None | $0.03 | $0.03 | $0.04 |
Ambetter Setting Professional Modifier None Typical Low $3.98 Median $6.03 Typical High $6.03 | Professional | None | $3.98 | $6.03 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.04 Median $0.05 Typical High $0.21 | Facility | None | $0.04 | $0.05 | $0.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $1.58 | Professional | None | $0.05 | $0.05 | $1.58 |
Blue Shield Setting Facility Modifier None Typical Low $0.10 Median $0.13 Typical High $0.19 | Facility | None | $0.10 | $0.13 | $0.19 |
Blue Shield Setting Professional Modifier None Typical Low $0.10 Median $0.16 Typical High $0.31 | Professional | None | $0.10 | $0.16 | $0.31 |
Cigna Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.06 | Facility | None | $0.05 | $0.05 | $0.06 |
Cigna Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None | $0.04 | $0.04 | $0.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $0.08 Median $0.09 Typical High $0.09 | Professional | None | $0.08 | $0.09 | $0.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.06 Median $0.08 Typical High $0.16 | Professional | None | $0.06 | $0.08 | $0.16 |
Lucent Health Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $5.50 | Professional | None | $2.00 | $2.00 | $5.50 |
Molina Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | None | $0.12 | $0.12 | $0.12 |
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 $0.03 Median $0.05 Typical High $0.08 | Facility | None | $0.03 | $0.05 | $0.08 |
Providence Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None | $0.04 | $0.04 | $0.04 |
Sutter Health Plus Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
United Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.10 | Professional | None | $0.04 | $0.04 | $0.10 |
2 more rates 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 $0.05 Median $0.05 Typical High $0.05 | Professional | RR · Rental | $0.05 | $0.05 | $0.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.05 Median $0.05 Typical High $0.11 | Professional | UE · Used equipment | $0.05 | $0.05 | $0.11 |
Where California sits
The same service costs 40.7 times more in Kansas 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· 44th of 51
$0.04
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.