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California rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Facilitymedian $98 · 10th–90th $0–$6760%10%10th90th$98Professionalmedian $33 · 10th–90th $1–$870%10%10th90th$33$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $208.93 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $34.67 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $0.17 / $0.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.51
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.19 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.27 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.20
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.17 / $0.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.16 / $0.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $1,513.56 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.19 / $0.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.19 / $0.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.40