How much rates vary
Facilitymedian $240 · 10th to 90th $115 to $661Professionalmedian $1,380 · 10th to 90th $204 to $1,380
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
AvMed Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $79.43 | $97.72 | $131.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $288.40 Median $489.78 Typical High $912.01 | Facility | None | $288.40 | $489.78 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $724.44 | Facility | None | $181.97 | $269.15 | $724.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $204.17 | Facility | 26 · Professional part | $61.66 | $77.62 | $204.17 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $524.81 | Facility | TC · Technical part | $158.49 | $194.98 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $131.83 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $120.23 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $457.09 | Facility | None | $144.54 | $169.82 | $457.09 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $691.83 | Facility | None | $177.83 | $288.40 | $691.83 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $194.98 | Facility | 26 · Professional part | $48.98 | $81.28 | $194.98 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $489.78 | Facility | TC · Technical part | $125.89 | $208.93 | $489.78 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $131.83 | $131.83 | $257.04 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $37.15 | $72.44 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $95.50 | $186.21 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $144.54 | $204.17 | $316.23 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $46.77 | $74.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $151.36 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $446.68 Typical High $501.19 | Professional | None | $131.83 | $446.68 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $257.04 | Facility | None | $107.15 | $154.88 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | None | $229.09 | $288.40 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $173.78 | Facility | None | $109.65 | $165.96 | $173.78 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $275.42 | Facility | None | $114.82 | $162.18 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $46.77 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $46.77 | $169.82 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $194.98 | $239.88 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $338.84 | Facility | None | $173.78 | $269.15 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $117.49 | $117.49 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $154.88 | Facility | None | $151.36 | $151.36 | $154.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $229.09 | $245.47 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $371.54 | Facility | None | $154.88 | $245.47 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $95.50 | $117.49 | $223.87 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 27 · Multiple hospital visits | $194.98 | $239.88 | $239.88 |
What it costs in each state
The same service costs 45.7 times more in Missouri 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.
MO $1,380SC $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.