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 $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.74 Median $0.93 Typical High $3.89 | Facility | None | $0.74 | $0.93 | $3.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $10.23 | Professional | None | $1.00 | $1.00 | $10.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | UE · Used equipment | $0.76 | $0.76 | $0.76 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None | $36.31 | $36.31 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $28.18 Typical High $28.18 | Professional | None | $0.79 | $28.18 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None | $36.31 | $36.31 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $831.76 | Professional | None | $104.71 | $134.90 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
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 $3.98 Median $5.75 Typical High $5.75 | Facility | None | $3.98 | $5.75 | $5.75 |
Providence Setting Professional Modifier None Typical Low $0.79 Median $28.18 Typical High $28.18 | Professional | None | $0.79 | $28.18 | $28.18 |
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 $1.10 Median $1.86 Typical High $2.04 | Professional | RR · Rental | $1.10 | $1.86 | $2.04 |
Where California sits
The same service costs 79.4 times more in Montana than in Georgia. 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· 6th of 51
$28.18
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.