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 $5.37 Median $5.89 Typical High $6.17 | Facility | None | $5.37 | $5.89 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.89 Typical High $10.96 | Professional | None | $5.37 | $5.89 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $8.32 Typical High $34.67 | Facility | None | $6.61 | $8.32 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $22.39 Typical High $29.51 | Professional | None | $8.91 | $22.39 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | UE · Used equipment | $6.61 | $6.61 | $6.61 |
Blue Shield Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $42.66 | Facility | None | $20.89 | $28.18 | $42.66 |
Blue Shield Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $75.86 | Professional | None | $23.44 | $37.15 | $75.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | None | $16.22 | $16.22 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $27.54 | Professional | None | $20.42 | $22.39 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $120.23 | Professional | None | $15.85 | $22.39 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $154.88 | Professional | None | $102.33 | $102.33 | $154.88 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $6.17 Median $18.62 Typical High $20.42 | Facility | None | $6.17 | $18.62 | $20.42 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $7.94 Median $9.12 Typical High $24.55 | Professional | None | $7.94 | $9.12 | $24.55 |
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 $0.89 Median $2.04 Typical High $18.20 | Professional | RR · Rental | $0.89 | $2.04 | $18.20 |
Where California sits
The same service costs 2.8 times more in Hawaii than in Utah. 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· 41st of 51
$10.23
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.