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 $23.44 Median $28.84 Typical High $60.26 | Facility | None | $23.44 | $28.84 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $32.36 | Professional | None | $23.44 | $23.44 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $79.43 | Facility | None | $25.12 | $38.90 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $32.36 | Professional | None | $23.44 | $23.44 | $32.36 |
Blue Shield Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $48.98 | Facility | None | $22.39 | $26.92 | $48.98 |
Blue Shield Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | None | $23.44 | $23.44 | $28.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $25.70 | Professional | None | $23.44 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $41.69 Typical High $57.54 | Facility | None | $23.44 | $41.69 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | None | $22.39 | $22.39 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $39.81 | Professional | None | $20.89 | $22.91 | $39.81 |
Lucent Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $61.66 | Facility | None | $23.44 | $40.74 | $61.66 |
Providence Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $26.92 | Professional | None | $19.95 | $22.39 | $26.92 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | JZ · No drug discarded | $22.39 | $22.39 | $22.39 |
Where California sits
Rates are fairly even across states for this service. 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· 39th of 51
$23.44
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.