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 $19.05 Median $19.05 Typical High $38.02 | Facility | None | $19.05 | $19.05 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $28.18 | Professional | None | $19.05 | $20.89 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $31.62 Typical High $64.57 | Facility | None | $20.42 | $31.62 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $39.81 | Professional | None | $16.98 | $18.20 | $39.81 |
Blue Shield Setting Facility Modifier None Typical Low $19.05 Median $21.38 Typical High $38.02 | Facility | None | $19.05 | $21.38 | $38.02 |
Blue Shield Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $51.29 | Professional | None | $19.05 | $22.91 | $51.29 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $28.18 | Professional | None | $16.98 | $20.89 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $34.67 Typical High $47.86 | Facility | None | $19.50 | $34.67 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $51.29 | Professional | None | $16.98 | $21.88 | $51.29 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $51.29 | Facility | None | $19.05 | $30.90 | $51.29 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | None | $19.05 | $19.05 | $24.55 |
Sutter Health Plus Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $48.98 | Facility | None | $19.05 | $19.05 | $48.98 |
United Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $50.12 | Professional | None | $18.20 | $18.20 | $50.12 |
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 JZ · No drug discarded Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | JZ · No drug discarded | $19.05 | $19.05 | $19.95 |
Where California sits
The same service costs 6.6 times more in Alabama than in Iowa. 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· 12th of 51
$20.89
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.