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 Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $28.18 | Professional | None | $15.14 | $19.05 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $56.23 | Professional | None | $15.85 | $23.44 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $69.18 | Facility | None | $13.18 | $16.60 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $66.07 | Professional | None | $13.49 | $14.13 | $66.07 |
Blue Shield Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $22.39 | Professional | None | $12.02 | $16.22 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $22.39 | Professional | None | $16.22 | $20.42 | $22.39 |
HealthNet Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $281.84 | Professional | None | $123.03 | $123.03 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $19.95 | Professional | None | $11.22 | $14.13 | $19.95 |
Lucent Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | None | $93.33 | $93.33 | $144.54 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $15.85 | Professional | None | $9.55 | $9.55 | $15.85 |
Optum Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $24.55 | Facility | None | $14.79 | $18.62 | $24.55 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | None | $13.80 | $13.80 | $15.14 |
United Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $41.69 | Professional | None | $13.18 | $17.78 | $41.69 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $18.62 Median $20.42 Typical High $20.42 | Professional | 25 · Same-day visit | $18.62 | $20.42 | $20.42 |
Where California sits
The same service costs 5.1 times more in Alaska than in Maine. 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
$16.98
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.