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 $2.82 Median $2.82 Typical High $5.25 | Facility | None | $2.82 | $2.82 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $4.17 | Professional | None | $2.82 | $3.09 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.88 Median $3.39 Typical High $4.17 | Facility | None | $2.88 | $3.39 | $4.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $6.17 | Professional | None | $2.88 | $2.88 | $6.17 |
Blue Shield Setting Facility Modifier None Typical Low $3.63 Median $6.31 Typical High $8.91 | Facility | None | $3.63 | $6.31 | $8.91 |
Blue Shield Setting Professional Modifier None Typical Low $2.82 Median $3.31 Typical High $7.59 | Professional | None | $2.82 | $3.31 | $7.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $4.17 | Professional | None | $2.51 | $3.09 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $5.13 Typical High $6.92 | Facility | None | $2.88 | $5.13 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $7.76 | Professional | None | $2.51 | $3.47 | $7.76 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Providence Setting Facility Modifier None Typical Low $2.82 Median $5.01 Typical High $7.76 | Facility | None | $2.82 | $5.01 | $7.76 |
Providence Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.39 | Professional | None | $2.82 | $2.82 | $3.39 |
United Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $6.17 | Professional | None | $2.88 | $2.88 | $6.17 |
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 $2.88 Median $2.88 Typical High $6.31 | Professional | JZ · No drug discarded | $2.88 | $2.88 | $6.31 |
Where California sits
The same service costs 2.2 times more in Wyoming 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· 22nd of 51
$3.02
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.