How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,413 to $14,125Professionalmedian $9,120 · 10th to 90th $1,862 to $9,120
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 Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $9,120.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $6,760.83 Typical High $15,135.61 | Facility | None | $1,288.25 | $6,760.83 | $15,135.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,380.38 Typical High $1,659.59 | Facility | None | $30.20 | $1,380.38 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $9,120.11 |
AvMed Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $12,882.50 | Facility | None | $1,380.38 | $2,137.96 | $12,882.50 |
AvMed Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,698.24 Typical High $2,089.30 | Professional | None (both parts) | $1,513.56 | $1,698.24 | $2,089.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $19,952.62 | Facility | None | $10,964.78 | $10,964.78 | $19,952.62 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,344.23 | $4,073.80 | $7,079.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $4,365.16 Typical High $6,760.83 | Professional | None (both parts) | $2,511.89 | $4,365.16 | $6,760.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $2,398.83 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $3,981.07 Typical High $6,309.57 | Professional | None (both parts) | $2,238.72 | $3,981.07 | $6,309.57 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,995.26 Typical High $2,511.89 | Professional | None (both parts) | $1,862.09 | $1,995.26 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $3,162.28 Typical High $5,128.61 | Professional | None | $407.38 | $3,162.28 | $5,128.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $9,120.11 |
MVP Health Care Setting Facility Modifier None Typical Low $26,302.68 Median $26,302.68 Typical High $38,018.94 | Facility | None | $26,302.68 | $26,302.68 | $38,018.94 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $9,120.11 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,754.23 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,165.95 | Facility | None | $5,011.87 | $5,011.87 | $6,165.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $9,120.11 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,818.38 Typical High $3,162.28 | Professional | None (both parts) | $2,630.27 | $2,818.38 | $3,162.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $4,168.69 | Professional | None (both parts) | $30.20 | $30.20 | $4,168.69 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,041.74 | Facility | None | $1,949.84 | $1,949.84 | $2,041.74 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $3,467.37 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $3,467.37 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $2,754.23 | Facility | None | $1,995.26 | $2,570.40 | $2,754.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,862.09 Typical High $2,511.89 | Professional | None (both parts) | $1,412.54 | $1,862.09 | $2,511.89 |
2 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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 26 · Professional part | $1,348.96 | $1,348.96 | $1,348.96 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | 26 · Professional part | $1,122.02 | $1,122.02 | $1,513.56 |
What it costs in each state
The same service costs 302.0 times more in Kansas 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.
KS $9,120SC $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.