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 $5.25 Median $5.25 Typical High $6.17 | Facility | None | $5.25 | $5.25 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.17 Typical High $11.22 | Professional | None | $5.25 | $6.17 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $8.13 Typical High $9.77 | Facility | None | $7.08 | $8.13 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $16.60 Typical High $34.67 | Professional | None | $6.76 | $16.60 | $34.67 |
Blue Shield Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $25.12 | Professional | None | $8.71 | $12.59 | $25.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $16.22 | Professional | None | $10.72 | $10.72 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.72 Median $18.20 Typical High $18.20 | Professional | None | $10.72 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $46.77 | Professional | None | $14.13 | $16.98 | $46.77 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $8.51 Typical High $16.60 | Facility | None | $6.17 | $8.51 | $16.60 |
Providence Setting Professional Modifier None Typical Low $2.45 Median $16.60 Typical High $16.60 | Professional | None | $2.45 | $16.60 | $16.60 |
Sutter Health Plus Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $10.23 Median $17.38 Typical High $52.48 | Professional | None | $10.23 | $17.38 | $52.48 |
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 $0.68 Median $14.45 Typical High $38.90 | Professional | RR · Rental | $0.68 | $14.45 | $38.90 |
Where California sits
The same service costs 3.7 times more in Montana 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· 20th of 51
$14.45
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.