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 |
|---|---|---|---|---|---|
CareSource Setting Facility Modifier None Typical Low $70,794.58 Median $70,794.58 Typical High $70,794.58 | Facility | None | $70,794.58 | $70,794.58 | $70,794.58 |
CareSource Setting Professional Modifier None Typical Low $74,131.02 Median $74,131.02 Typical High $74,131.02 | Professional | None | $74,131.02 | $74,131.02 | $74,131.02 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $263.03 | Facility | None | $85.11 | $100.00 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $44.67 | Professional | None | $35.48 | $38.90 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $38.02 | Professional | None | $28.18 | $38.02 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $346.74 | Professional | None | $100.00 | $100.00 | $346.74 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $251.19 | Facility | None | $66.07 | $104.71 | $251.19 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $630.96 Typical High $831.76 | Professional | None | $31.62 | $630.96 | $831.76 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $60.26 | Professional | None | $30.20 | $50.12 | $60.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Priority Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | None | $35.48 | $35.48 | $39.81 |
Providence Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $30.20 | Professional | None | $22.91 | $28.18 | $30.20 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Facility Modifier CSTM-00 Typical Low $229.09 Median $229.09 Typical High $331.13 | Facility | CSTM-00 | $229.09 | $229.09 | $331.13 |
What it costs in each state
The same service costs 4.0 times more in New Mexico than in Pennsylvania. 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.
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.