How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier PP · Ambulance P to P Typical Low $3.02 Median $8.51 Typical High $8.51 | Professional | PP · Ambulance P to P | $3.02 | $8.51 | $8.51 |
United Setting Professional Modifier SW · Diabetes educator Typical Low $3.02 Median $3.98 Typical High $3.98 | Professional | SW · Diabetes educator | $3.02 | $3.98 | $3.98 |
6 more rates 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $31.62 Typical High $1,000.00 | Professional | None | $12.88 | $31.62 | $1,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $79.43 Typical High $2,570,395.78 | Professional | None | $14.45 | $79.43 | $2,570,395.78 |
United Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None | $34.67 | $39.81 | $60.26 |
Where California sits
The same service costs 501187.2 times more in Alaska than in Louisiana. 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· 13th of 42
$79.43
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.