How much rates vary
Facilitymedian $39 · 10th to 90th $0 to $100Professionalmedian $5 · 10th to 90th $2 to $38
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.07 | Facility | None | $0.02 | $0.03 | $0.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $10.00 Typical High $33.88 | Professional | None (both parts) | $0.02 | $10.00 | $33.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1.66 Median $1.66 Typical High $1.78 | Professional | None (both parts) | $1.66 | $1.66 | $1.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.04 Median $28.18 Typical High $57.54 | Facility | None | $2.04 | $28.18 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1.70 Median $2.04 Typical High $25.12 | Professional | None (both parts) | $1.70 | $2.04 | $25.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
AvMed Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
BCBS Alabama Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $14.45 Median $64.57 Typical High $97.72 | Facility | None | $14.45 | $64.57 | $97.72 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $13.49 Median $21.38 Typical High $30.20 | Professional | None (both parts) | $13.49 | $21.38 | $30.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $20.89 | Facility | None | $15.14 | $15.14 | $20.89 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $9.77 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $9.77 | $14.45 | $14.45 |
BCBS Idaho Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $83.18 | Facility | None | $27.54 | $38.90 | $83.18 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.44 Typical High $25.12 | Professional | None (both parts) | $22.39 | $23.44 | $25.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $45.71 Median $48.98 Typical High $72.44 | Facility | None | $45.71 | $48.98 | $72.44 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
BCBS Kansas City Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $22.39 Typical High $37.15 | Facility | None | $0.02 | $22.39 | $37.15 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $20.89 | $21.88 | $21.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.13 Median $7.94 Typical High $23.99 | Facility | None | $5.13 | $7.94 | $23.99 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $5.62 Median $6.03 Typical High $6.61 | Professional | None (both parts) | $5.62 | $6.03 | $6.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.11 Median $34.67 Typical High $208.93 | Facility | None | $33.11 | $34.67 | $208.93 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $27.54 | $30.90 | $34.67 |
BCBS Mississippi Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
BCBS Nebraska Setting Facility Modifier None Typical Low $58.88 Median $83.18 Typical High $173.78 | Facility | None | $58.88 | $83.18 | $173.78 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $0.79 Median $0.91 Typical High $1.20 | Professional | None (both parts) | $0.79 | $0.91 | $1.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $10.00 Median $15.49 Typical High $15.49 | Facility | None | $10.00 | $15.49 | $15.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $75.86 | Professional | None (both parts) | $15.85 | $15.85 | $75.86 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $30.90 | Professional | None (both parts) | $22.91 | $28.18 | $30.90 |
BCBS Texas Setting Facility Modifier None Typical Low $1.20 Median $3.02 Typical High $4.27 | Facility | None | $1.20 | $3.02 | $4.27 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None (both parts) | $6.31 | $6.31 | $6.31 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None (both parts) | $5.13 | $5.13 | $5.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $3.16 Median $3.98 Typical High $3.98 | Professional | None (both parts) | $3.16 | $3.98 | $3.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.88 Typical High $25.12 | Professional | None (both parts) | $19.50 | $21.88 | $25.12 |
Christus Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $54.95 Typical High $144.54 | Facility | None | $36.31 | $54.95 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $21.38 | $26.92 | $36.31 |
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 |
DeanCare Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Denver HMP Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Florida Blue Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $524.81 | Facility | None | $204.17 | $346.74 | $524.81 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $4.68 Median $6.61 Typical High $8.51 | Professional | None (both parts) | $4.68 | $6.61 | $8.51 |
HMSA Setting Professional Modifier None (both parts) Typical Low $24.55 Median $25.70 Typical High $34.67 | Professional | None (both parts) | $24.55 | $25.70 | $34.67 |
Hally Health Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $151.36 | Professional | None | $9.33 | $12.02 | $151.36 |
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 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $5.13 Median $8.32 Typical High $40.74 | Professional | None (both parts) | $5.13 | $8.32 | $40.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.02 Median $23.44 Typical High $27.54 | Facility | None | $0.02 | $23.44 | $27.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.77 Typical High $13.18 | Professional | None (both parts) | $9.33 | $9.77 | $13.18 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $138.04 | Facility | None | $35.48 | $58.88 | $138.04 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $35.48 | Professional | None (both parts) | $21.38 | $21.38 | $35.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None (both parts) | $3.55 | $3.55 | $3.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $12.02 Typical High $22.91 | Professional | None | $5.01 | $12.02 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None (both parts) | $7.24 | $7.24 | $7.24 |
Martin's Point Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None (both parts) | $0.04 | $0.04 | $0.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $3.02 Median $4.79 Typical High $6.92 | Facility | None | $3.02 | $4.79 | $6.92 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3.02 Median $6.46 Typical High $7.24 | Professional | None (both parts) | $3.02 | $6.46 | $7.24 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $6.92 Typical High $50.12 | Facility | None | $6.17 | $6.92 | $50.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $4.90 Median $6.17 Typical High $16.60 | Professional | None (both parts) | $4.90 | $6.17 | $16.60 |
Midlands Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Moda Health Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $6.92 | Facility | None | $0.02 | $0.03 | $6.92 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $0.02 Median $4.90 Typical High $5.13 | Professional | None (both parts) | $0.02 | $4.90 | $5.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.24 Median $4.27 Typical High $50.12 | Professional | None (both parts) | $2.24 | $4.27 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $8.32 Median $16.22 Typical High $2,187.76 | Facility | None | $8.32 | $16.22 | $2,187.76 |
Physicians Health Plan of Northern Indiana 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 |
Premera BCBS Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3.89 Median $3.89 Typical High $5.89 | Professional | None (both parts) | $3.89 | $3.89 | $5.89 |
Prevea360 Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $10.47 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $10.47 | $21.38 | $21.38 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $12.59 | Facility | None | $6.92 | $12.30 | $12.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $70.79 | $79.43 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Select Health Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $4,265.80 | Facility | None | $12.30 | $12.30 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $8.91 Typical High $12.59 | Professional | None (both parts) | $8.91 | $8.91 | $12.59 |
Sentara Setting Facility Modifier None Typical Low $3.55 Median $18.62 Typical High $11,481.54 | Facility | None | $3.55 | $18.62 | $11,481.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $3.55 Median $18.62 Typical High $11,481.54 | Professional | None (both parts) | $3.55 | $18.62 | $11,481.54 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $13.18 | $24.55 | $24.55 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,090.30 | $4,897.79 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $11.75 | $15.14 | $15.14 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2.04 Median $2.04 Typical High $12.59 | Professional | None (both parts) | $2.04 | $2.04 | $12.59 |
21 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.02 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.02 | $0.03 | $0.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.02 Median $7.59 Typical High $16.98 | Professional | 52 · Reduced service | $0.02 | $7.59 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $3.80 Typical High $6.76 | Professional | 53 · Discontinued | $2.00 | $3.80 | $6.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $15.14 | $17.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $0.69 Median $1.00 Typical High $1.00 | Professional | 26 · Professional part | $0.69 | $1.00 | $1.00 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | TC · Technical part | $9.12 | $13.49 | $13.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | TC · Technical part | $14.45 | $14.45 | $14.45 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $27.54 Median $33.88 Typical High $37.15 | Professional | 22 · Increased work | $27.54 | $33.88 | $37.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $5.75 Typical High $6.17 | Professional | 55 · Aftercare only | $4.57 | $5.75 | $6.17 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $0.02 Median $0.02 Typical High $0.04 | Facility | 52 · Reduced service | $0.02 | $0.02 | $0.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Univera Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $43.65 | Facility | TC · Technical part | $37.15 | $37.15 | $43.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $37.15 | $37.15 | $43.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 26 · Professional part | $2.51 | $2.51 | $2.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | TC · Technical part | $10.00 | $10.00 | $10.00 |
What it costs in each state
The same service costs 3981.1 times more in Montana than in Tennessee. 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.
MT $79.43TN $0.02
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.