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 $0.25 Median $0.28 Typical High $0.28 | Facility | None | $0.25 | $0.28 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.25 Median $0.28 Typical High $0.42 | Professional | None | $0.25 | $0.28 | $0.42 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.46 Median $0.59 Typical High $2.40 | Facility | None | $0.46 | $0.59 | $2.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.62 Median $0.68 Typical High $1.41 | Professional | None | $0.62 | $0.68 | $1.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | UE · Used equipment | $0.47 | $0.47 | $0.47 |
Blue Shield Setting Facility Modifier None Typical Low $1.00 Median $1.32 Typical High $2.00 | Facility | None | $1.00 | $1.32 | $2.00 |
Blue Shield Setting Professional Modifier None Typical Low $1.07 Median $2.04 Typical High $3.55 | Professional | None | $1.07 | $2.04 | $3.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | None | $0.78 | $0.78 | $0.78 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.62 | Facility | None | $0.58 | $0.58 | $0.62 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | None | $0.49 | $0.49 | $0.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $0.78 Median $1.07 Typical High $1.15 | Professional | None | $0.78 | $1.07 | $1.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.62 Median $0.87 Typical High $2.24 | Professional | None | $0.62 | $0.87 | $2.24 |
Lucent Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $7.24 | Professional | None | $4.79 | $4.79 | $7.24 |
Molina Setting Professional Modifier None Typical Low $0.95 Median $0.95 Typical High $33.11 | Professional | None | $0.95 | $0.95 | $33.11 |
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 $0.27 Median $0.58 Typical High $0.98 | Facility | None | $0.27 | $0.58 | $0.98 |
Providence Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | None | $0.49 | $0.49 | $0.58 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.46 Typical High $1.20 | Professional | None | $0.38 | $0.46 | $1.20 |
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 $0.06 Median $0.62 Typical High $0.62 | Professional | RR · Rental | $0.06 | $0.62 | $0.62 |
Where California sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 37th of 51
$0.58
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.