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 $2.34 Median $2.57 Typical High $2.69 | Facility | None | $2.34 | $2.57 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.57 Typical High $5.01 | Professional | None | $2.34 | $2.57 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.95 Median $3.72 Typical High $15.14 | Facility | None | $2.95 | $3.72 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $10.00 Typical High $13.18 | Professional | None | $3.89 | $10.00 | $13.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | UE · Used equipment | $2.95 | $2.95 | $2.95 |
Blue Shield Setting Facility Modifier None Typical Low $9.33 Median $12.30 Typical High $18.62 | Facility | None | $9.33 | $12.30 | $18.62 |
Blue Shield Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $33.11 | Professional | None | $10.23 | $16.22 | $33.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $7.41 | Professional | None | $4.79 | $5.75 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $12.30 | Professional | None | $9.12 | $10.00 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $120.23 | Professional | None | $6.03 | $10.47 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
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 $2.75 Median $8.32 Typical High $9.12 | Facility | None | $2.75 | $8.32 | $9.12 |
Providence Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Sutter Health Plus Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $11.22 | Professional | None | $3.55 | $3.98 | $11.22 |
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 $0.39 Median $0.89 Typical High $7.94 | Professional | RR · Rental | $0.39 | $0.89 | $7.94 |
Where California sits
The same service costs 3.2 times more in Hawaii than in Colorado. 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· 43rd of 51
$4.47
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.