How much rates vary
Facilitymedian $269 · 10th to 90th $83 to $11,749Professionalmedian $117 · 10th to 90th $65 to $195
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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $102.33 | Facility | None | $69.18 | $69.18 | $102.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $102.33 | Facility | None | $69.18 | $69.18 | $102.33 |
AvMed Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $74.13 | $74.13 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $70,794.58 | Facility | None | $125.89 | $158.49 | $70,794.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $125.89 | $151.36 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $794.33 | Facility | None | $239.88 | $302.00 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $117.49 | $147.91 | $245.47 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $218.78 | Professional | None (both parts) | $93.33 | $102.33 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $758.58 | Facility | None | $194.98 | $316.23 | $758.58 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $117.49 | $117.49 | $194.98 |
Horizon BCBS Setting Facility Modifier None Typical Low $741.31 Median $18,197.01 Typical High $27,542.29 | Facility | None | $741.31 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $407.38 | Professional | None | $162.18 | $363.08 | $407.38 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $190.55 | Professional | None (both parts) | $60.26 | $60.26 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $102.33 | Facility | None | $69.18 | $69.18 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $371.54 | Facility | None | $162.18 | $371.54 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $316.23 | Facility | None | $93.33 | $147.91 | $316.23 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $93.33 | $117.49 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | None | $194.98 | $194.98 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $173.78 | Professional | None (both parts) | $56.23 | $83.18 | $173.78 |
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 |
|---|---|---|---|---|---|
Medica Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $346.74 Typical High $346.74 | Facility | TC · Technical part | $162.18 | $346.74 | $346.74 |
What it costs in each state
The same service costs 6.6 times more in Missouri than in Utah. 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.
Touch or drag across the chart to see any state's rate.
MO $372UT $56.23
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.