How much rates vary
Facilitymedian $832 · 10th to 90th $269 to $6,026Professionalmedian $2,570 · 10th to 90th $229 to $2,570
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 $489.78 Median $1,122.02 Typical High $3,162.28 | Facility | None | $489.78 | $1,122.02 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $1,698.24 Typical High $6,606.93 | Facility | None | $407.38 | $1,698.24 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | None | $213.80 | $213.80 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $478.63 Typical High $870.96 | Facility | None | $19.95 | $478.63 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
AvMed Setting Facility Modifier None Typical Low $363.08 Median $1,000.00 Typical High $2,570.40 | Facility | None | $363.08 | $1,000.00 | $2,570.40 |
AvMed Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $213.80 | Professional | None | $79.43 | $169.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $1,047.13 | Facility | None | $354.81 | $562.34 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $691.83 | Professional | None | $154.88 | $338.84 | $691.83 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $338.84 Typical High $575.44 | Facility | None | $114.82 | $338.84 | $575.44 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $323.59 | Facility | None | $109.65 | $263.03 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $537.03 | Professional | None | $100.00 | $151.36 | $537.03 |
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 $316.23 Median $512.86 Typical High $891.25 | Facility | None | $316.23 | $512.86 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $141.25 Median $309.03 Typical High $707.95 | Professional | None | $141.25 | $309.03 | $707.95 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Horizon BCBS Setting Professional Modifier None Typical Low $123.03 Median $380.19 Typical High $870.96 | Professional | None | $123.03 | $380.19 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $831.76 | Professional | None | $323.59 | $436.52 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $3,162.28 | Facility | None | $489.78 | $1,122.02 | $3,162.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | None | $302.00 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $223.87 Typical High $457.09 | Facility | None | $74.13 | $223.87 | $457.09 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $15,135.61 | Facility | None | $125.89 | $354.81 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $2,570.40 Typical High $2,570.40 | Professional | None | $891.25 | $2,570.40 | $2,570.40 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | None | $363.08 | $363.08 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Midlands Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $741.31 | Facility | None | $524.81 | $602.56 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $398.11 | Professional | None | $169.82 | $169.82 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $263.03 Typical High $575.44 | Facility | None | $93.33 | $263.03 | $575.44 |
Moda Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $123.03 Median $128.82 Typical High $295.12 | Facility | None | $123.03 | $128.82 | $295.12 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $389.05 | Professional | None | $251.19 | $251.19 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $338.84 Typical High $575.44 | Facility | None | $114.82 | $338.84 | $575.44 |
Priority Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $295.12 Typical High $501.19 | Facility | None | $97.72 | $295.12 | $501.19 |
Providence Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | GL · Free upgrade | $199.53 | $234.42 | $234.42 |
What it costs in each state
The same service costs 85.1 times more in Massachusetts than in South Carolina. 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.
MA $2,570SC $30.20
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.