How much rates vary
Facilitymedian $71 · 10th to 90th $25 to $513Professionalmedian $30 · 10th to 90th $25 to $100
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 Facility Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | 56 · Pre-op care only | $2.51 | $2.51 | $2.51 |
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 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $2.51 |
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 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $45.71 | $58.88 | $70.79 |
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 |
BCBS Arizona Setting Facility Modifier None Typical Low $102.33 Median $457.09 Typical High $691.83 | Facility | None | $102.33 | $457.09 | $691.83 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $75.86 | $102.33 | $123.03 |
BCBS Idaho Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Louisiana 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 Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $30.90 | $32.36 | $32.36 |
BCBS Mississippi Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $114.82 | Facility | None | $104.71 | $104.71 | $114.82 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $190.55 | Facility | None | $69.18 | $93.33 | $190.55 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $17,782.79 | Facility | None | $0.02 | $0.02 | $17,782.79 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $95.50 | Facility | None | $79.43 | $91.20 | $95.50 |
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 $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None (both parts) | $58,884.37 | $58,884.37 | $58,884.37 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $478.63 | Facility | None | $50.12 | $173.78 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $85.11 | $120.23 | $194.98 |
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 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $169.82 | Facility | None | $67.61 | $104.71 | $169.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
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 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $199.53 | Professional | None | $100.00 | $100.00 | $199.53 |
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 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $2.51 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $446.68 | Facility | None | $120.23 | $190.55 | $446.68 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $66.07 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $66.07 | $107.15 | $194.98 |
Health Smart 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 $79.43 Median $109.65 Typical High $109.65 | Professional | None | $79.43 | $109.65 | $109.65 |
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 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $2.51 |
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 $25.12 Median $25.12 Typical High $32.36 | Facility | None | $25.12 | $25.12 | $32.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $25.12 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $25.12 | $125.89 | $125.89 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $79.43 Typical High $134.90 | Facility | None | $25.12 | $79.43 | $134.90 |
Medica 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 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
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 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $2.51 |
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 |
Oscar Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $125.89 | Facility | None | $70.79 | $107.15 | $125.89 |
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 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 |
Security Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Security Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
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 $54.95 Typical High $60.26 | Professional | None (both parts) | $34.67 | $54.95 | $60.26 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $199.53 | Facility | None | $60.26 | $60.26 | $199.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,090.30 | $5,754.40 |
Wellpoint 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 |
5 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 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 |
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 |
Well Sense Setting Facility Modifier TF · Intermediate care level Typical Low $151.36 Median $190.55 Typical High $346.74 | Facility | TF · Intermediate care level | $151.36 | $190.55 | $346.74 |
What it costs in each state
The same service costs 100.0 times more in Massachusetts than in Maryland. 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 $2,512MD $25.12
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.