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 $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $4.79 | Professional | None | $4.07 | $4.79 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.62 Median $0.78 Typical High $3.16 | Facility | None | $0.62 | $0.78 | $3.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.71 Median $0.83 Typical High $0.98 | Professional | None | $0.71 | $0.83 | $0.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | UE · Used equipment | $0.62 | $0.62 | $0.62 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.24 Median $8.32 Typical High $16.98 | Professional | None | $3.24 | $8.32 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $831.76 | Professional | None | $120.23 | $138.04 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
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 $4.79 Median $6.76 Typical High $6.76 | Facility | None | $4.79 | $6.76 | $6.76 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
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 $0.83 Median $1.55 Typical High $2.04 | Professional | RR · Rental | $0.83 | $1.55 | $2.04 |
Where California sits
The same service costs 95.5 times more in Montana than in Georgia. 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· 9th of 51
$4.79
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.