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 $2.95 Median $3.24 Typical High $3.39 | Facility | None | $2.95 | $3.24 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $6.31 | Professional | None | $2.95 | $3.24 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $4.57 Typical High $19.05 | Facility | None | $3.63 | $4.57 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $12.30 Typical High $16.22 | Professional | None | $4.90 | $12.30 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | UE · Used equipment | $3.72 | $3.72 | $3.72 |
Blue Shield Setting Facility Modifier None Typical Low $11.75 Median $15.49 Typical High $23.44 | Facility | None | $11.75 | $15.49 | $23.44 |
Blue Shield Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $41.69 | Professional | None | $12.88 | $20.42 | $41.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $10.23 | Professional | None | $7.76 | $8.51 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $15.14 | Professional | None | $11.22 | $12.30 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $120.23 | Professional | None | $7.94 | $12.88 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | None | $56.23 | $56.23 | $85.11 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
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 $3.39 Median $10.23 Typical High $11.22 | Facility | None | $3.39 | $10.23 | $11.22 |
Providence Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Sutter Health Plus Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $14.13 | Professional | None | $4.47 | $5.01 | $14.13 |
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 $0.49 Median $1.12 Typical High $10.00 | Professional | RR · Rental | $0.49 | $1.12 | $10.00 |
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· 39th of 51
$5.62
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.