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 $0.31 Median $0.31 Typical High $0.31 | Facility | None | $0.31 | $0.31 | $0.31 |
Aetna Setting Professional Modifier None Typical Low $0.30 Median $0.31 Typical High $0.34 | Professional | None | $0.30 | $0.31 | $0.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.71 Median $0.98 Typical High $1.10 | Professional | None | $0.71 | $0.98 | $1.10 |
Blue Shield Setting Professional Modifier None Typical Low $1.05 Median $1.51 Typical High $2.34 | Professional | None | $1.05 | $1.51 | $2.34 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.00 Median $134.90 Typical High $831.76 | Professional | None | $1.00 | $134.90 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $7.41 | Professional | None | $5.89 | $7.41 | $7.41 |
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 $0.31 Median $0.87 Typical High $1.62 | Facility | None | $0.31 | $0.87 | $1.62 |
Providence Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $0.41 Median $0.43 Typical High $1.02 | Professional | None | $0.41 | $0.43 | $1.02 |
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 $0.78 Median $0.85 Typical High $2.19 | Professional | RR · Rental | $0.78 | $0.85 | $2.19 |
Where California sits
The same service costs 177.8 times more in Wyoming 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· 34th of 51
$0.56
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.