How much rates vary
Facilitymedian $28 · 10th to 90th $25 to $617Professionalmedian $45 · 10th to 90th $25 to $78
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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $354.81 | Facility | None | $67.61 | $87.10 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | None (both parts) | $37.15 | $44.67 | $69.18 |
BCBS Setting Facility Modifier None Typical Low $0.02 Median $114.82 Typical High $630.96 | Facility | None | $0.02 | $114.82 | $630.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $56.23 | $75.86 | $102.33 |
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 |
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 $47.86 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $47.86 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $77.62 Typical High $79.43 | Professional | None (both parts) | $28.18 | $77.62 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $44.67 | Facility | None | $25.12 | $25.12 | $44.67 |
Denver HMP Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Facility | None | $25.12 | $25.12 | $35.48 |
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 $117.49 Median $117.49 Typical High $169.82 | Facility | None | $117.49 | $117.49 | $169.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $234.42 | Professional | None | $41.69 | $44.67 | $234.42 |
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 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $602.56 | Professional | None | $144.54 | $186.21 | $602.56 |
Martin's Point Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $30.20 | Facility | None | $25.12 | $25.12 | $30.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $95.50 | Facility | None | $25.12 | $25.12 | $95.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.12 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $25.12 | $83.18 | $83.18 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Facility | None | $25.12 | $25.12 | $35.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
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 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Prevea360 Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $44.67 | Facility | None | $25.12 | $25.12 | $44.67 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Facility | None | $25.12 | $25.12 | $35.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.12 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $25.12 | $79.43 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $181.97 | Professional | None | $117.49 | $120.23 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $177.83 | Facility | None | $162.18 | $162.18 | $177.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $158.49 | $165.96 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,011.87 | Facility | None | $4,265.80 | $4,265.80 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $2,511.89 | $5,011.87 | $5,011.87 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $34.67 | $50.12 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,311.31 | $4,897.79 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $79.43 | Professional | None (both parts) | $64.57 | $77.62 | $79.43 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
6 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 26 · Professional part | $5.01 | $5.01 | $5.01 |
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 |
Priority Health 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 |
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 |
What it costs in each state
The same service costs 478.6 times more in Massachusetts than in Hawaii. 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.
MA $2,512HI $5.25
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.