How much rates vary
Facilitymedian $316 · 10th to 90th $112 to $661Professionalmedian $288 · 10th to 90th $135 to $427
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 $100.00 Median $123.03 Typical High $144.54 | Facility | None | $100.00 | $123.03 | $144.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $141.25 | Facility | None | $102.33 | $123.03 | $141.25 |
AvMed Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $114.82 | Facility | None | $109.65 | $112.20 | $114.82 |
AvMed Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | None | $109.65 | $112.20 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $1,479.11 | Facility | None | $316.23 | $478.63 | $1,479.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,479.11 | Facility | None | $812.83 | $812.83 | $1,479.11 |
CDPHP Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $371.54 Typical High $724.44 | Facility | None | $144.54 | $371.54 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $467.74 | Professional | None | $239.88 | $302.00 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $95.50 | Facility | None | $0.10 | $0.10 | $95.50 |
Geisinger Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $398.11 | Facility | None | $331.13 | $363.08 | $398.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $190.55 | Professional | None | $134.90 | $154.88 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $1,023.29 | Facility | None | $263.03 | $436.52 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $457.09 | Professional | None | $218.78 | $302.00 | $457.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $331.13 | Professional | None | $158.49 | $199.53 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $1,737.80 | Professional | None | $257.04 | $257.04 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $144.54 | Facility | None | $100.00 | $123.03 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $537.03 Typical High $537.03 | Facility | None | $316.23 | $537.03 | $537.03 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $645.65 | Professional | None | $165.96 | $213.80 | $645.65 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $190.55 Median $190.55 Typical High $194.98 | Facility | None | $190.55 | $190.55 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $263.03 | Facility | None | $190.55 | $245.47 | $263.03 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $144.54 | Facility | None | $69.18 | $69.18 | $144.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $275.42 | Professional | None | $102.33 | $138.04 | $275.42 |
University Health Alliance Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $165.96 | Professional | None | $120.23 | $165.96 | $165.96 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | GL · Free upgrade | $112.20 | $112.20 | $112.20 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | U6 · State-defined | $186.21 | $186.21 | $186.21 |
What it costs in each state
The same service costs 21.4 times more in Texas 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.
TX $646SC $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.