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 $2.29 Median $2.51 Typical High $2.57 | Facility | None | $2.29 | $2.51 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $4.79 | Professional | None | $2.29 | $2.51 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.82 Median $3.55 Typical High $14.45 | Facility | None | $2.82 | $3.55 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $9.55 Typical High $12.59 | Professional | None | $3.80 | $9.55 | $12.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | UE · Used equipment | $2.82 | $2.82 | $2.82 |
Blue Shield Setting Facility Modifier None Typical Low $8.91 Median $11.75 Typical High $17.78 | Facility | None | $8.91 | $11.75 | $17.78 |
Blue Shield Setting Professional Modifier None Typical Low $9.77 Median $15.49 Typical High $31.62 | Professional | None | $9.77 | $15.49 | $31.62 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.79 Median $5.62 Typical High $7.24 | Professional | None | $4.79 | $5.62 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $11.75 | Professional | None | $8.71 | $9.55 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $120.23 | Professional | None | $6.03 | $10.00 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | None | $42.66 | $42.66 | $64.57 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
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 $2.63 Median $7.94 Typical High $8.71 | Facility | None | $2.63 | $7.94 | $8.71 |
Providence Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $10.72 | Professional | None | $3.39 | $3.80 | $10.72 |
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 $0.38 Median $0.85 Typical High $7.59 | Professional | RR · Rental | $0.38 | $0.85 | $7.59 |
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· 40th of 51
$4.37
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.