How much rates vary
Facilitymedian $977 · 10th to 90th $427 to $2,818Professionalmedian $398 · 10th to 90th $269 to $603
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 $398.11 Median $977.24 Typical High $2,398.83 | Facility | None | $398.11 | $977.24 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $141.25 | Facility | 26 · Professional part | $95.50 | $104.71 | $141.25 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $562.34 | Facility | 52 · Reduced service | $158.49 | $213.80 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $223.87 | Facility | 53 · Discontinued | $63.10 | $85.11 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $1,288.25 | Facility | TC · Technical part | $223.87 | $338.84 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $316.23 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $239.88 | Professional | 52 · Reduced service | $158.49 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $95.50 | Professional | 53 · Discontinued | $63.10 | $85.11 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $223.87 | $257.04 | $338.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,348.96 | Facility | None | $851.14 | $870.96 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $602.56 | Facility | None | $467.74 | $467.74 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $263.03 | $489.78 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $102.33 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $407.38 | $489.78 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,238.72 | Facility | None | $1,023.29 | $1,318.26 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $1,318.26 Typical High $1,479.11 | Professional | None (both parts) | $190.55 | $1,318.26 | $1,479.11 |
AvMed Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $891.25 | Facility | None | $181.97 | $363.08 | $891.25 |
BCBS Alabama Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $302.00 Typical High $457.09 | Facility | None | $67.61 | $302.00 | $457.09 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $85.11 | $85.11 | $162.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $602.56 Median $1,445.44 Typical High $2,290.87 | Facility | None | $602.56 | $1,445.44 | $2,290.87 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $602.56 | Facility | None | $446.68 | $501.19 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $660.69 | Facility | None | $630.96 | $630.96 | $660.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $1,995.26 | Facility | None | $467.74 | $933.25 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $3,890.45 | Facility | None | $562.34 | $1,318.26 | $3,890.45 |
BCBS Mississippi Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Facility | None | $707.95 | $707.95 | $794.33 |
BCBS Mississippi 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 |
BCBS Nebraska Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,778.28 | Facility | None | $660.69 | $891.25 | $1,778.28 |
BCBS Nebraska Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $190.55 | $363.08 | $389.05 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Facility | None | $1,412.54 | $1,412.54 | $1,698.24 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $5,495.41 | Facility | None | $2,137.96 | $3,548.13 | $5,495.41 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,659.59 | Facility | None | $758.58 | $891.25 | $1,659.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,467.37 | Facility | None | $1,318.26 | $2,137.96 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $389.05 | $489.78 | $489.78 |
BCBS Texas Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $1,949.84 | Facility | None | $524.81 | $1,174.90 | $1,949.84 |
Blue Shield Setting Facility Modifier None Typical Low $323.59 Median $1,071.52 Typical High $1,995.26 | Facility | None | $323.59 | $1,071.52 | $1,995.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,047.13 Typical High $2,238.72 | Facility | None | $489.78 | $1,047.13 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $549.54 Typical High $1,548.82 | Professional | None (both parts) | $416.87 | $549.54 | $1,548.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
DeanCare Setting Facility Modifier None Typical Low $316.23 Median $2,137.96 Typical High $2,951.21 | Facility | None | $316.23 | $2,137.96 | $2,951.21 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,951.21 | Facility | TC · Technical part | $1,862.09 | $2,290.87 | $2,951.21 |
Denver HMP Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $707.95 | Facility | None | $426.58 | $426.58 | $707.95 |
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 $630.96 Median $676.08 Typical High $676.08 | Facility | None | $630.96 | $676.08 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,981.07 | Facility | None | $1,949.84 | $1,949.84 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $389.05 | Professional | None | $100.00 | $151.36 | $389.05 |
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 $933.25 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $933.25 | $1,288.25 | $1,949.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,513.56 | Facility | None | $794.33 | $794.33 | $1,513.56 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | None (both parts) | $549.54 | $549.54 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $2,137.96 Typical High $3,467.37 | Facility | None | $724.44 | $2,137.96 | $3,467.37 |
Horizon BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,318.26 Typical High $4,786.30 | Facility | None | $707.95 | $1,318.26 | $4,786.30 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $1,288.25 Median $16,218.10 Typical High $27,542.29 | Facility | TC · Technical part | $1,288.25 | $16,218.10 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $660.69 Typical High $831.76 | Professional | None | $346.74 | $660.69 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,318.26 | $1,479.11 | $1,479.11 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,096.48 Typical High $2,187.76 | Facility | None | $426.58 | $1,096.48 | $2,187.76 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $316.23 | $426.58 | $524.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $223.87 | $302.00 | $302.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,348.96 | Facility | None | $851.14 | $870.96 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $602.56 | Facility | None | $302.00 | $316.23 | $602.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $954.99 | Facility | None | $288.40 | $457.09 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,949.84 | Facility | None | $891.25 | $1,258.93 | $1,949.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $501.19 | $602.56 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $457.09 Typical High $1,584.89 | Facility | None | $316.23 | $457.09 | $1,584.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $316.23 | $316.23 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | 26 · Professional part | $95.50 | $95.50 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | 52 · Reduced service | $158.49 | $158.49 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | 53 · Discontinued | $63.10 | $63.10 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $223.87 | $223.87 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $602.56 | Professional | None (both parts) | $30.20 | $30.20 | $602.56 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $218.78 | $575.44 | $707.95 |
Providence Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $2,454.71 | Facility | None | $407.38 | $954.99 | $2,454.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $70.79 | $446.68 | $776.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $616.60 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,698.24 | Facility | None | $707.95 | $1,148.15 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $4,265.80 | Facility | None | $512.86 | $1,621.81 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $380.19 | $446.68 | $575.44 |
Sentara Setting Facility Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $10,232.93 | Facility | None | $1,778.28 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,862.09 Typical High $10,232.93 | Professional | None (both parts) | $1,513.56 | $1,862.09 | $10,232.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,041.74 | Facility | None | $912.01 | $1,230.27 | $2,041.74 |
United Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $1,479.11 | Facility | None | $457.09 | $870.96 | $1,479.11 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $3,715.35 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $3,715.35 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
1 more rate 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Facility Modifier 50 · Both sides Typical Low $1,288.25 Median $1,288.25 Typical High $2,089.30 | Facility | 50 · Both sides | $1,288.25 | $1,288.25 | $2,089.30 |
What it costs in each state
The same service costs 37.2 times more in Oklahoma than in Montana. 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.
OK $2,951MT $79.43
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.