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 $1.15 Median $1.26 Typical High $1.32 | Facility | None | $1.15 | $1.26 | $1.32 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.32 Typical High $1.86 | Professional | None | $1.23 | $1.32 | $1.86 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.47 | Professional | None | $3.31 | $3.31 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.51 Median $1.95 Typical High $7.94 | Facility | None | $1.51 | $1.95 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $6.46 | Professional | None | $2.14 | $3.09 | $6.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | UE · Used equipment | $1.55 | $1.55 | $1.55 |
Blue Shield Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $9.12 | Facility | None | $4.57 | $6.03 | $9.12 |
Blue Shield Setting Professional Modifier None Typical Low $4.90 Median $8.13 Typical High $16.22 | Professional | None | $4.90 | $8.13 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $4.90 | Professional | None | $4.47 | $4.90 | $4.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $10.00 | Professional | None | $3.02 | $4.47 | $10.00 |
Lucent Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None | $33.11 | $33.11 | $45.71 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $33.11 Typical High $33.11 | Professional | None | $6.31 | $33.11 | $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 $1.38 Median $3.09 Typical High $4.47 | Facility | None | $1.38 | $3.09 | $4.47 |
Providence Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $1.74 Median $1.95 Typical High $5.25 | Professional | None | $1.74 | $1.95 | $5.25 |
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 $2.14 Typical High $3.98 | Professional | RR · Rental | $0.21 | $2.14 | $3.98 |
Where California sits
The same service costs 2.6 times more in Hawaii than in California. 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· 51st of 51
$1.82
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.