How much rates vary
Facilitymedian $85 · 10th to 90th $58 to $324Professionalmedian $66 · 10th to 90th $49 to $98
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 $54.95 Median $79.43 Typical High $208.93 | Facility | None | $54.95 | $79.43 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $83.18 | Professional | None | $52.48 | $66.07 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Facility | None | $162.18 | $177.83 | $223.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $223.87 | Professional | None | $72.44 | $72.44 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $93.33 | Professional | None | $46.77 | $66.07 | $93.33 |
AmeriHealth Setting Facility Modifier None Typical Low $70.79 Median $602.56 Typical High $2,344.23 | Facility | None | $70.79 | $602.56 | $2,344.23 |
AmeriHealth Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $77.62 | Professional | None | $52.48 | $66.07 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $89.13 Typical High $371.54 | Facility | None | $69.18 | $89.13 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $83.18 | Professional | None | $43.65 | $64.57 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $426.58 Typical High $891.25 | Facility | None | $52.48 | $426.58 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $120.23 | Professional | None | $64.57 | $72.44 | $120.23 |
Aultcare Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $83.18 | Professional | None | $46.77 | $56.23 | $83.18 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $87.10 | Facility | None | $69.18 | $70.79 | $87.10 |
AvMed Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $87.10 | Professional | None | $67.61 | $70.79 | $87.10 |
BCBS Alabama Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
BCBS Arizona Setting Facility Modifier None Typical Low $46.77 Median $165.96 Typical High $323.59 | Facility | None | $46.77 | $165.96 | $323.59 |
BCBS Arizona Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $69.18 | Professional | None | $44.67 | $47.86 | $69.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $95.50 | Professional | None | $64.57 | $72.44 | $95.50 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $501.19 | Facility | None | $138.04 | $309.03 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $117.49 | Professional | None | $61.66 | $97.72 | $117.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $1,071.52 | Facility | None | $154.88 | $257.04 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $97.72 | Professional | None | $67.61 | $70.79 | $97.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $79.43 Median $83.18 Typical High $83.18 | Facility | None | $79.43 | $83.18 | $83.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $85.11 | Professional | None | $61.66 | $69.18 | $85.11 |
BCBS Kansas City Setting Professional Modifier None Typical Low $39.81 Median $89.13 Typical High $120.23 | Professional | None | $39.81 | $89.13 | $120.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $354.81 | Facility | None | $138.04 | $245.47 | $354.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $77.62 | Professional | None | $53.70 | $53.70 | $77.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $75.86 Median $204.17 Typical High $288.40 | Facility | None | $75.86 | $204.17 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $95.50 | Professional | None | $56.23 | $72.44 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $102.33 | Facility | None | $79.43 | $87.10 | $102.33 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | None | $67.61 | $83.18 | $102.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $630.96 | Facility | None | $199.53 | $380.19 | $630.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $162.18 | Professional | None | $77.62 | $95.50 | $162.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
BCBS Mississippi Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
BCBS Montana Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $123.03 | Professional | None | $70.79 | $79.43 | $123.03 |
BCBS Nebraska Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $562.34 | Facility | None | $208.93 | $275.42 | $562.34 |
BCBS Nebraska Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $128.82 | Professional | None | $57.54 | $97.72 | $128.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $117.49 Median $416.87 Typical High $645.65 | Facility | None | $117.49 | $416.87 | $645.65 |
BCBS New Mexico Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $57.54 | Professional | None | $30.20 | $50.12 | $57.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $97.72 | Professional | None | $58.88 | $75.86 | $97.72 |
BCBS North Dakota Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $138.04 | Facility | None | $131.83 | $131.83 | $138.04 |
BCBS North Dakota Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $199.53 | Professional | None | $109.65 | $151.36 | $199.53 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $79.43 | Professional | None | $47.86 | $53.70 | $79.43 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $128.82 Median $275.42 Typical High $363.08 | Facility | None | $128.82 | $275.42 | $363.08 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $91.20 | Professional | None | $58.88 | $67.61 | $91.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $616.60 | Facility | None | $194.98 | $389.05 | $616.60 |
BCBS South Carolina Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | None | $69.18 | $85.11 | $85.11 |
BCBS Tennessee Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | None | $61.66 | $64.57 | $72.44 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $1,122.02 Typical High $1,122.02 | Facility | None | $398.11 | $1,122.02 | $1,122.02 |
BCBS Texas Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $81.28 | Professional | None | $41.69 | $57.54 | $81.28 |
BCBS Vermont Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
BCBS Vermont Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $89.13 | Professional | None | $53.70 | $53.70 | $89.13 |
BCBS Wyoming Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $141.25 | Professional | None | $100.00 | $123.03 | $141.25 |
Baylor Scott & White Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $309.03 | Facility | None | $177.83 | $177.83 | $309.03 |
Baylor Scott & White Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | None | $51.29 | $60.26 | $74.13 |
Blue Shield Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $446.68 | Facility | None | $109.65 | $204.17 | $446.68 |
Blue Shield Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $97.72 | Professional | None | $51.29 | $61.66 | $97.72 |
CDPHP Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $109.65 | Professional | None | $85.11 | $87.10 | $109.65 |
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 Typical Low $81.28 Median $85.11 Typical High $114.82 | Professional | None | $81.28 | $85.11 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $91.20 | Facility | None | $58.88 | $67.61 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $107.15 | Professional | None | $61.66 | $77.62 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $112.20 | Professional | None | $70.79 | $87.10 | $112.20 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $229.09 Typical High $371.54 | Facility | None | $79.43 | $229.09 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $100.00 | Professional | None | $36.31 | $52.48 | $100.00 |
Community Health Options Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $131.83 | Professional | None | $60.26 | $70.79 | $131.83 |
ConnectiCare Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | None | $74.13 | $74.13 | $128.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $109.65 | Professional | None | $52.48 | $85.11 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $147.91 | Facility | None | $67.61 | $87.10 | $147.91 |
DeanCare Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $120.23 | Professional | None | $91.20 | $104.71 | $120.23 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $104.71 | Facility | None | $69.18 | $79.43 | $104.71 |
Denver HMP Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $54.95 Typical High $169.82 | Facility | None | $0.10 | $54.95 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $46.77 | Professional | None | $34.67 | $38.02 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $64.57 | Facility | None | $36.31 | $58.88 | $64.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $89.13 | Professional | None | $35.48 | $72.44 | $89.13 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $112.20 | Facility | None | $47.86 | $83.18 | $112.20 |
Fallon Health Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $102.33 | Professional | None | $66.07 | $75.86 | $102.33 |
Fidelis Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $75.86 | Professional | None | $39.81 | $70.79 | $75.86 |
Florida Blue Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $63.10 | Professional | None | $36.31 | $60.26 | $63.10 |
Geisinger Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Facility | None | $44.67 | $44.67 | $50.12 |
Geisinger Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $147.91 | Professional | None | $63.10 | $83.18 | $147.91 |
HMSA Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $102.33 | Professional | None | $74.13 | $77.62 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | None | $61.66 | $72.44 | $117.49 |
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 Typical Low $58.88 Median $72.44 Typical High $97.72 | Professional | None | $58.88 | $72.44 | $97.72 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $93.33 Typical High $169.82 | Facility | None | $58.88 | $93.33 | $169.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $87.10 | Professional | None | $57.54 | $66.07 | $87.10 |
Health New England Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $138.04 | Facility | None | $44.67 | $69.18 | $138.04 |
Health New England Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $478.63 | Professional | None | $61.66 | $95.50 | $478.63 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $645.65 | Facility | None | $169.82 | $269.15 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | None | $87.10 | $100.00 | $100.00 |
Health Smart Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None | $81.28 | $95.50 | $107.15 |
HealthNet Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $234.42 | Professional | None | $69.18 | $100.00 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $575.44 | Facility | None | $69.18 | $162.18 | $575.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $104.71 | Professional | None | $63.10 | $70.79 | $104.71 |
Hometown Health Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $102.33 | Professional | None | $56.23 | $79.43 | $102.33 |
Hometown Health Setting Professional Modifier None Typical Low $0.45 Median $104.71 Typical High $128.82 | Professional | None | $0.45 | $104.71 | $128.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $831.76 | Facility | None | $363.08 | $602.56 | $831.76 |
Horizon BCBS Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $89.13 | Professional | None | $67.61 | $69.18 | $89.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $70.79 Median $478.63 Typical High $1,905.46 | Facility | None | $70.79 | $478.63 | $1,905.46 |
Independence Blue Cross Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $77.62 | Professional | None | $52.48 | $66.07 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $109.65 | Professional | None | $50.12 | $69.18 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $91.20 | Professional | None | $51.29 | $60.26 | $91.20 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $707.95 | Professional | None | $489.78 | $707.95 | $707.95 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $1,479.11 | Facility | None | $53.70 | $53.70 | $1,479.11 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None | $25.12 | $34.67 | $64.57 |
Martin's Point Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $331.13 | Facility | None | $50.12 | $72.44 | $331.13 |
Martin's Point Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $75.86 | Professional | None | $54.95 | $64.57 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Facility | None | $162.18 | $177.83 | $223.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $223.87 | Professional | None | $72.44 | $72.44 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $120.23 | Facility | None | $66.07 | $85.11 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $72.44 | Professional | None | $54.95 | $61.66 | $72.44 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $323.59 | Facility | None | $69.18 | $91.20 | $323.59 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $489.78 | Professional | None | $53.70 | $72.44 | $489.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $186.21 | Facility | None | $128.82 | $181.97 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $58.88 | Professional | None | $48.98 | $54.95 | $58.88 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $131.83 | Professional | None | $79.43 | $93.33 | $131.83 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | None | $102.33 | $120.23 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $117.49 Typical High $269.15 | Facility | None | $60.26 | $117.49 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $97.72 | Professional | None | $56.23 | $67.61 | $97.72 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $95.50 Typical High $131.83 | Professional | None | $44.67 | $95.50 | $131.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $158.49 | Facility | None | $117.49 | $138.04 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $158.49 | Professional | None | $95.50 | $125.89 | $158.49 |
Network Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Facility | None | $100.00 | $100.00 | $102.33 |
Network Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | None | $61.66 | $61.66 | $93.33 |
Optum Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $79.43 | Professional | None | $56.23 | $58.88 | $79.43 |
Oscar Health Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $331.13 | Facility | None | $181.97 | $223.87 | $331.13 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $75.86 | Professional | None | $53.70 | $56.23 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $158.49 | Facility | None | $79.43 | $128.82 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $2,187.76 | Facility | None | $199.53 | $257.04 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $128.82 | Professional | None | $52.48 | $72.44 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $102.33 | Facility | None | $93.33 | $102.33 | $102.33 |
Premera BCBS Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $93.33 | Professional | None | $81.28 | $93.33 | $93.33 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $147.91 | Facility | None | $67.61 | $87.10 | $147.91 |
Prevea360 Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Priority Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $67.61 | Professional | None | $33.11 | $33.11 | $67.61 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $147.91 | Facility | None | $69.18 | $85.11 | $147.91 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $57.54 Typical High $95.50 | Professional | None | $34.67 | $57.54 | $95.50 |
Qualchoice Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $128.82 | Professional | None | $87.10 | $107.15 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $181.97 | Professional | None | $77.62 | $112.20 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | None | $41.69 | $46.77 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $616.60 | Facility | None | $257.04 | $416.87 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $109.65 | Professional | None | $60.26 | $75.86 | $109.65 |
Sanford Health Plan Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $151.36 | Professional | None | $77.62 | $93.33 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None | $97.72 | $97.72 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $269.15 | Professional | None | $72.44 | $117.49 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $186.21 | Facility | None | $69.18 | $85.11 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $87.10 | Professional | None | $53.70 | $63.10 | $87.10 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $114.82 Typical High $7,413.10 | Facility | None | $48.98 | $114.82 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | None | $77.62 | $77.62 | $114.82 |
SummaCare Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $89.13 | Professional | None | $52.48 | $72.44 | $89.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | None | $204.17 | $204.17 | $223.87 |
The Alliance Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | None | $54.95 | $67.61 | $112.20 |
Tufts Setting Facility Modifier None Typical Low $25.70 Median $58.88 Typical High $302.00 | Facility | None | $25.70 | $58.88 | $302.00 |
Tufts Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $128.82 | Professional | None | $72.44 | $97.72 | $128.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $74.13 | Facility | None | $45.71 | $57.54 | $74.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | None | $45.71 | $45.71 | $70.79 |
United Setting Facility Modifier None Typical Low $229.09 Median $436.52 Typical High $741.31 | Facility | None | $229.09 | $436.52 | $741.31 |
United Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $87.10 | Professional | None | $53.70 | $58.88 | $87.10 |
Univera Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $93.33 | Facility | None | $34.67 | $61.66 | $93.33 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $67.61 Typical High $85.11 | Professional | None | $35.48 | $67.61 | $85.11 |
University Health Alliance Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $112.20 | Facility | None | $54.95 | $67.61 | $112.20 |
Well Sense Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | None | $37.15 | $44.67 | $58.88 |
Wellmark Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $117.49 | Professional | None | $75.86 | $93.33 | $117.49 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | None | $53.70 | $66.07 | $85.11 |
116 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 AF · Specialist physician Typical Low $66.07 Median $75.86 Typical High $89.13 | Facility | AF · Specialist physician | $66.07 | $75.86 | $89.13 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $50.12 Median $56.23 Typical High $67.61 | Facility | HO · Master's level | $50.12 | $56.23 | $67.61 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $56.23 Median $64.57 Typical High $75.86 | Facility | TD · Registered nurse | $56.23 | $64.57 | $75.86 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $50.12 Median $70.79 Typical High $89.13 | Professional | AF · Specialist physician | $50.12 | $70.79 | $89.13 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | HO · Master's level | $46.77 | $56.23 | $69.18 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $52.48 Median $64.57 Typical High $79.43 | Professional | TD · Registered nurse | $52.48 | $64.57 | $79.43 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $63.10 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $51.29 Median $63.10 Typical High $83.18 | Professional | 93 · Audio-only telehealth | $51.29 | $63.10 | $83.18 |
Ambetter Setting Professional Modifier CG · Policy criteria applied Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | CG · Policy criteria applied | $61.66 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier FQ · Audio-only Typical Low $58.88 Median $64.57 Typical High $85.11 | Professional | FQ · Audio-only | $58.88 | $64.57 | $85.11 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | GC · Resident with teaching physician | $47.86 | $47.86 | $66.07 |
Ambetter Setting Professional Modifier GZ · Expected denial Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | GZ · Expected denial | $42.66 | $42.66 | $57.54 |
Ambetter Setting Professional Modifier HA · Child/adolescent program Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | HA · Child/adolescent program | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $42.66 Median $56.23 Typical High $85.11 | Professional | HE · Mental health program | $42.66 | $56.23 | $85.11 |
Ambetter Setting Professional Modifier HF · Substance use program Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | HF · Substance use program | $64.57 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier HG · Opioid treatment program Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | HG · Opioid treatment program | $83.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier HI · Mental health + developmental disability Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | HI · Mental health + developmental disability | $63.10 | $63.10 | $72.44 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $52.48 Median $63.10 Typical High $85.11 | Professional | HO · Master's level | $52.48 | $63.10 | $85.11 |
Ambetter Setting Professional Modifier HP · Doctoral level Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | HP · Doctoral level | $63.10 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier HW · State mental health funded Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | HW · State mental health funded | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KX · Policy requirements met | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier Q2 · Demonstration procedure Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | Q2 · Demonstration procedure | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | SA · Nurse practitioner | $63.10 | $63.10 | $70.79 |
Ambetter Setting Professional Modifier TG · Complex care level Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | TG · Complex care level | $66.07 | $66.07 | $95.50 |
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | U1 · State-defined | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier U2 · State-defined Typical Low $31.62 Median $51.29 Typical High $51.29 | Professional | U2 · State-defined | $31.62 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $56.23 Median $60.26 Typical High $64.57 | Professional | U3 · State-defined | $56.23 | $60.26 | $64.57 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $31.62 Median $42.66 Typical High $63.10 | Professional | U4 · State-defined | $31.62 | $42.66 | $63.10 |
Ambetter Setting Professional Modifier U6 · State-defined Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | U6 · State-defined | $57.54 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier U7 · State-defined Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | U7 · State-defined | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier U8 · State-defined Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | U8 · State-defined | $61.66 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier U9 · State-defined Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | U9 · State-defined | $51.29 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier UC · State-defined Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UC · State-defined | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier UD · State-defined Typical Low $42.66 Median $61.66 Typical High $63.10 | Professional | UD · State-defined | $42.66 | $61.66 | $63.10 |
Anthem BCBS Setting Professional Modifier HO · Master's level Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | HO · Master's level | $56.23 | $67.61 | $67.61 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 31 + 52 · Reduced service + 55 · Aftercare only Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | 21 + 22 · Increased work + 31 + 52 · Reduced service + 55 · Aftercare only | $60.26 | $61.66 | $75.86 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $63.10 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $63.10 | $63.10 | $109.65 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | HO · Master's level | $85.11 | $85.11 | $85.11 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.20 Typical High $39.81 | Professional | 55 · Aftercare only | $22.39 | $30.20 | $39.81 |
BCBS Rhode Island Setting Professional Modifier GC · Resident with teaching physician Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | GC · Resident with teaching physician | $61.66 | $61.66 | $81.28 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $33.88 Median $61.66 Typical High $75.86 | Professional | 29 | $33.88 | $61.66 | $75.86 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $97.72 | Professional | 53 · Discontinued | $70.79 | $87.10 | $97.72 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $24.55 Typical High $28.18 | Professional | 55 · Aftercare only | $19.95 | $24.55 | $28.18 |
Emblem Health Setting Facility Modifier 25 · Same-day visit Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 25 · Same-day visit | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier 59 · Distinct service Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 59 · Distinct service | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AF · Specialist physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AF · Specialist physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AG · Primary physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AG · Primary physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HF · Substance use program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HF · Substance use program | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HG · Opioid treatment program Typical Low $0.10 Median $0.10 Typical High $38.02 | Facility | HG · Opioid treatment program | $0.10 | $0.10 | $38.02 |
Emblem Health Setting Facility Modifier HO · Master's level Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HO · Master's level | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier SA · Nurse practitioner Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | SA · Nurse practitioner | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier TL · Early intervention Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | TL · Early intervention | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U1 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U1 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U4 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U4 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U5 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U5 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U6 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U6 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U9 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U9 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier XE · Separate encounter Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | XE · Separate encounter | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier XP · Separate practitioner Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | XP · Separate practitioner | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier XU · Unusual separate service Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | XU · Unusual separate service | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Professional Modifier HF · Substance use program Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | HF · Substance use program | $38.02 | $38.02 | $46.77 |
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $32.36 Median $38.02 Typical High $44.67 | Professional | HG · Opioid treatment program | $32.36 | $38.02 | $44.67 |
Fallon Health Setting Facility Modifier HO · Master's level Typical Low $52.48 Median $72.44 Typical High $83.18 | Facility | HO · Master's level | $52.48 | $72.44 | $83.18 |
Fallon Health Setting Facility Modifier HP · Doctoral level Typical Low $58.88 Median $64.57 Typical High $97.72 | Facility | HP · Doctoral level | $58.88 | $64.57 | $97.72 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $58.88 Median $81.28 Typical High $93.33 | Facility | SA · Nurse practitioner | $58.88 | $81.28 | $93.33 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $57.54 Median $81.28 Typical High $87.10 | Facility | TD · Registered nurse | $57.54 | $81.28 | $87.10 |
Fallon Health Setting Facility Modifier U3 · State-defined Typical Low $35.48 Median $35.48 Typical High $38.90 | Facility | U3 · State-defined | $35.48 | $35.48 | $38.90 |
Fallon Health Setting Facility Modifier U4 · State-defined Typical Low $31.62 Median $31.62 Typical High $38.90 | Facility | U4 · State-defined | $31.62 | $31.62 | $38.90 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $72.44 Median $97.72 Typical High $125.89 | Facility | U6 · State-defined | $72.44 | $97.72 | $125.89 |
Fallon Health Setting Facility Modifier U7 · State-defined Typical Low $52.48 Median $52.48 Typical High $75.86 | Facility | U7 · State-defined | $52.48 | $52.48 | $75.86 |
Fallon Health Setting Facility Modifier UG · Afternoon Typical Low $69.18 Median $69.18 Typical High $85.11 | Facility | UG · Afternoon | $69.18 | $69.18 | $85.11 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | HO · Master's level | $72.44 | $72.44 | $75.86 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $58.88 Median $75.86 Typical High $77.62 | Professional | HP · Doctoral level | $58.88 | $75.86 | $77.62 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | SA · Nurse practitioner | $81.28 | $81.28 | $87.10 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $39.81 Median $81.28 Typical High $87.10 | Professional | TD · Registered nurse | $39.81 | $81.28 | $87.10 |
Fallon Health Setting Professional Modifier U3 · State-defined Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | U3 · State-defined | $35.48 | $35.48 | $35.48 |
Fallon Health Setting Professional Modifier U4 · State-defined Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | U4 · State-defined | $31.62 | $31.62 | $31.62 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | U6 · State-defined | $97.72 | $97.72 | $102.33 |
Fallon Health Setting Professional Modifier U7 · State-defined Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | U7 · State-defined | $52.48 | $52.48 | $52.48 |
Fallon Health Setting Professional Modifier UG · Afternoon Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UG · Afternoon | $69.18 | $69.18 | $69.18 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $38.02 Typical High $51.29 | Professional | 51 · Multiple procedures | $36.31 | $38.02 | $51.29 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $75.86 Median $81.28 Typical High $87.10 | Facility | AF · Specialist physician | $75.86 | $81.28 | $87.10 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $57.54 Median $64.57 Typical High $64.57 | Facility | HO · Master's level | $57.54 | $64.57 | $64.57 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $64.57 Median $69.18 Typical High $74.13 | Facility | TD · Registered nurse | $64.57 | $69.18 | $74.13 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $47.86 Median $70.79 Typical High $91.20 | Professional | AF · Specialist physician | $47.86 | $70.79 | $91.20 |
Health Alliance Plan Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | HO · Master's level | $60.26 | $100.00 | $100.00 |
Highmark BCBS Setting Professional Modifier 93 · Audio-only telehealth Typical Low $61.66 Median $66.07 Typical High $89.13 | Professional | 93 · Audio-only telehealth | $61.66 | $66.07 | $89.13 |
Highmark BCBS Setting Professional Modifier AM · Physician, team member Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | AM · Physician, team member | $81.28 | $81.28 | $87.10 |
Highmark BCBS Setting Professional Modifier FQ · Audio-only Typical Low $69.18 Median $81.28 Typical High $87.10 | Professional | FQ · Audio-only | $69.18 | $81.28 | $87.10 |
Highmark BCBS Setting Professional Modifier HE · Mental health program Typical Low $53.70 Median $61.66 Typical High $75.86 | Professional | HE · Mental health program | $53.70 | $61.66 | $75.86 |
Highmark BCBS Setting Professional Modifier HO · Master's level Typical Low $52.48 Median $63.10 Typical High $91.20 | Professional | HO · Master's level | $52.48 | $63.10 | $91.20 |
Highmark BCBS Setting Professional Modifier SA · Nurse practitioner Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | SA · Nurse practitioner | $66.07 | $66.07 | $66.07 |
Highmark BCBS Setting Professional Modifier SE · Publicly funded program Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | SE · Publicly funded program | $61.66 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $52.48 Median $67.61 Typical High $87.10 | Professional | HN · Bachelor's level | $52.48 | $67.61 | $87.10 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $69.18 Typical High $91.20 | Professional | HO · Master's level | $60.26 | $69.18 | $91.20 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $70.79 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $70.79 | $75.86 | $79.43 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $53.70 Median $56.23 Typical High $58.88 | Facility | HO · Master's level | $53.70 | $56.23 | $58.88 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $60.26 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $60.26 | $64.57 | $67.61 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $50.12 Median $63.10 Typical High $79.43 | Professional | AF · Specialist physician | $50.12 | $63.10 | $79.43 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $56.23 Typical High $97.72 | Professional | HO · Master's level | $54.95 | $56.23 | $97.72 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $63.10 Median $64.57 Typical High $109.65 | Professional | TD · Registered nurse | $63.10 | $64.57 | $109.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $30.20 Typical High $36.31 | Professional | 51 · Multiple procedures | $27.54 | $30.20 | $36.31 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $85.11 Median $181.97 Typical High $4,677.35 | Facility | 59 · Distinct service | $85.11 | $181.97 | $4,677.35 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $72.44 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $72.44 | $75.86 | $79.43 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $57.54 Typical High $63.10 | Facility | HO · Master's level | $54.95 | $57.54 | $63.10 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $61.66 | $64.57 | $67.61 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $54.95 Median $75.86 Typical High $87.10 | Professional | AF · Specialist physician | $54.95 | $75.86 | $87.10 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $60.26 Typical High $83.18 | Professional | HO · Master's level | $54.95 | $60.26 | $83.18 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $61.66 Median $67.61 Typical High $93.33 | Professional | TD · Registered nurse | $61.66 | $67.61 | $93.33 |
Providence Setting Professional Modifier ET · Emergency service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | ET · Emergency service | $34.67 | $34.67 | $34.67 |
Qualchoice Setting Professional Modifier U4 · State-defined Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | U4 · State-defined | $97.72 | $97.72 | $128.82 |
United Setting Professional Modifier HJ · Employee assistance Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | HJ · Employee assistance | $70.79 | $87.10 | $114.82 |
Well Sense Setting Facility Modifier HN · Bachelor's level Typical Low $54.95 Median $54.95 Typical High $128.82 | Facility | HN · Bachelor's level | $54.95 | $54.95 | $128.82 |
Well Sense Setting Facility Modifier SA · Nurse practitioner Typical Low $58.88 Median $58.88 Typical High $104.71 | Facility | SA · Nurse practitioner | $58.88 | $58.88 | $104.71 |
Well Sense Setting Facility Modifier U3 · State-defined Typical Low $35.48 Median $41.69 Typical High $72.44 | Facility | U3 · State-defined | $35.48 | $41.69 | $72.44 |
Well Sense Setting Facility Modifier U4 · State-defined Typical Low $31.62 Median $37.15 Typical High $64.57 | Facility | U4 · State-defined | $31.62 | $37.15 | $64.57 |
What it costs in each state
The same service costs 1.9 times more in North Dakota than in Kentucky. 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.
ND $100KY $53.70
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.