How much rates vary
Facilitymedian $794 · 10th to 90th $132 to $2,399Professionalmedian $832 · 10th to 90th $158 to $1,413
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 $446.68 Median $912.01 Typical High $1,148.15 | Facility | None | $446.68 | $912.01 | $1,148.15 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $331.13 Median $691.83 Typical High $870.96 | Facility | UE · Used equipment | $331.13 | $691.83 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $524.81 | $794.33 | $1,230.27 |
Aetna Setting Professional Modifier RR · Rental Typical Low $112.20 Median $295.12 Typical High $416.87 | Professional | RR · Rental | $112.20 | $295.12 | $416.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $575.44 Typical High $933.25 | Professional | UE · Used equipment | $389.05 | $575.44 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $1,202.26 Typical High $3,548.13 | Facility | None | $131.83 | $1,202.26 | $3,548.13 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $125.89 Median $131.83 Typical High $436.52 | Facility | RR · Rental | $125.89 | $131.83 | $436.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $954.99 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $44.67 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $44.67 | $138.04 | $138.04 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $707.95 Typical High $831.76 | Professional | UE · Used equipment | $331.13 | $707.95 | $831.76 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $3,162.28 | Professional | None (both parts) | $870.96 | $870.96 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $524.81 Typical High $2,089.30 | Facility | None | $102.33 | $524.81 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,445.44 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,445.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $102.33 Typical High $169.82 | Professional | RR · Rental | $95.50 | $102.33 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $758.58 Typical High $1,047.13 | Professional | UE · Used equipment | $724.44 | $758.58 | $1,047.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $1,202.26 Typical High $1,548.82 | Facility | None | $54.95 | $1,202.26 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier RR · Rental Typical Low $109.65 Median $131.83 Typical High $138.04 | Facility | RR · Rental | $109.65 | $131.83 | $138.04 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,380.38 Typical High $1,513.56 | Professional | None (both parts) | $1,023.29 | $1,380.38 | $1,513.56 |
Aultcare Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $141.25 | $141.25 | $141.25 |
AvMed Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $97.72 | $141.25 | $141.25 |
BCBS Setting Facility Modifier None Typical Low $109.65 Median $257.04 Typical High $2,818.38 | Facility | None | $109.65 | $257.04 | $2,818.38 |
BCBS Setting Facility Modifier RR · Rental Typical Low $128.82 Median $165.96 Typical High $281.84 | Facility | RR · Rental | $128.82 | $165.96 | $281.84 |
BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $1,071.52 Typical High $1,479.11 | Professional | None (both parts) | $75.86 | $1,071.52 | $1,479.11 |
BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $117.49 Typical High $141.25 | Professional | RR · Rental | $83.18 | $117.49 | $141.25 |
BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,071.52 Typical High $1,318.26 | Professional | UE · Used equipment | $1,071.52 | $1,071.52 | $1,318.26 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $302.00 | Facility | None | $97.72 | $181.97 | $302.00 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $1,479.11 | Professional | None (both parts) | $112.20 | $112.20 | $1,479.11 |
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 $134.90 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $134.90 | $1,023.29 | $1,348.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $870.96 | $954.99 | $954.99 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $87.10 | $95.50 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $134.90 Typical High $1,096.48 | Facility | None | $87.10 | $134.90 | $1,096.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $1,737.80 | Professional | None (both parts) | $114.82 | $186.21 | $1,737.80 |
Christus Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Christus Setting Facility Modifier RR · Rental Typical Low $104.71 Median $138.04 Typical High $141.25 | Facility | RR · Rental | $104.71 | $138.04 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Facility | None | $794.33 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier RR · Rental Typical Low $28.18 Median $151.36 Typical High $190.55 | Facility | RR · Rental | $28.18 | $151.36 | $190.55 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | UE · Used equipment | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $794.33 Typical High $1,584.89 | Professional | None (both parts) | $676.08 | $794.33 | $1,584.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $112.20 | Professional | RR · Rental | $57.54 | $57.54 | $112.20 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
ConnectiCare Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | RR · Rental | $91.20 | $91.20 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $1,000.00 Typical High $1,621.81 | Facility | None | $109.65 | $1,000.00 | $1,621.81 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $758.58 Typical High $1,412.54 | Facility | None | $154.88 | $758.58 | $1,412.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $138.04 Median $229.09 Typical High $501.19 | Facility | RR · Rental | $138.04 | $229.09 | $501.19 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $87.10 Median $117.49 Typical High $138.04 | Professional | RR · Rental | $87.10 | $117.49 | $138.04 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $1,348.96 | Professional | None (both parts) | $758.58 | $776.25 | $1,348.96 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $75.86 Median $77.62 Typical High $112.20 | Professional | RR · Rental | $75.86 | $77.62 | $112.20 |
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 Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Florida Blue Setting Professional Modifier RR · Rental Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $109.65 | $141.25 | $141.25 |
Florida Blue Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | UE · Used equipment | $954.99 | $1,047.13 | $1,047.13 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | RR · Rental | $138.04 | $138.04 | $138.04 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $616.60 | $616.60 | $758.58 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $83.18 Median $104.71 Typical High $138.04 | Professional | RR · Rental | $83.18 | $104.71 | $138.04 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | UE · Used equipment | $467.74 | $467.74 | $575.44 |
HMSA Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,412.54 | $1,479.11 | $1,479.11 |
HMSA Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $147.91 | $147.91 | $147.91 |
HMSA Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,096.48 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $199.53 | Professional | None | $100.00 | $138.04 | $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 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $407.38 Median $676.08 Typical High $1,412.54 | Professional | None (both parts) | $407.38 | $676.08 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $40.74 Median $67.61 Typical High $131.83 | Professional | RR · Rental | $40.74 | $67.61 | $131.83 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $501.19 Typical High $977.24 | Professional | UE · Used equipment | $302.00 | $501.19 | $977.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,318.26 | $1,445.44 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,023.29 Typical High $1,380.38 | Professional | None (both parts) | $138.04 | $1,023.29 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $74.13 Median $114.82 Typical High $141.25 | Professional | RR · Rental | $74.13 | $114.82 | $141.25 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $831.76 Typical High $1,047.13 | Professional | UE · Used equipment | $512.86 | $831.76 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $10,964.78 | Facility | None | $2,951.21 | $4,677.35 | $10,964.78 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,380.38 | $1,584.89 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $977.24 Typical High $1,023.29 | Professional | None (both parts) | $954.99 | $977.24 | $1,023.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Horizon BCBS Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
Johns Hopkins Employer Health Plan Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $3,311.31 | Professional | None | $1,023.29 | $1,445.44 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $97.72 Median $112.20 Typical High $199.53 | Professional | RR · Rental | $97.72 | $112.20 | $199.53 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $1,096.48 Typical High $2,570.40 | Professional | UE · Used equipment | $891.25 | $1,096.48 | $2,570.40 |
Kaiser Permanente Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $1,698.24 | Facility | None | $120.23 | $177.83 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $1,698.24 | Professional | None (both parts) | $120.23 | $177.83 | $1,698.24 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | RR · Rental | $81.28 | $81.28 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $707.95 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $707.95 | $724.44 | $794.33 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $537.03 Typical High $602.56 | Professional | UE · Used equipment | $524.81 | $537.03 | $602.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $1,202.26 Typical High $3,548.13 | Facility | None | $131.83 | $1,202.26 | $3,548.13 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $125.89 Median $131.83 Typical High $436.52 | Facility | RR · Rental | $125.89 | $131.83 | $436.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $954.99 | $1,122.02 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $44.67 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $44.67 | $138.04 | $138.04 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $707.95 Typical High $831.76 | Professional | UE · Used equipment | $331.13 | $707.95 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $933.25 | Facility | None | $389.05 | $676.08 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $457.09 | $457.09 | $758.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $100.00 | Professional | RR · Rental | $45.71 | $45.71 | $100.00 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $933.25 Typical High $7,079.46 | Facility | None | $138.04 | $933.25 | $7,079.46 |
Medica Setting Facility Modifier RR · Rental Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | RR · Rental | $630.96 | $630.96 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $446.68 | $676.08 | $1,174.90 |
Medica Setting Professional Modifier RR · Rental Typical Low $44.67 Median $67.61 Typical High $114.82 | Professional | RR · Rental | $44.67 | $67.61 | $114.82 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $501.19 Typical High $831.76 | Professional | UE · Used equipment | $331.13 | $501.19 | $831.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $794.33 | Professional | None (both parts) | $93.33 | $93.33 | $794.33 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,479.11 | $1,479.11 |
Midlands Setting Professional Modifier RR · Rental Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | RR · Rental | $154.88 | $154.88 | $154.88 |
Midlands Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $1,096.48 Typical High $1,096.48 | Professional | UE · Used equipment | $812.83 | $1,096.48 | $1,096.48 |
Midlands Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Midlands Setting Facility Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | UE · Used equipment | $1,023.29 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $1,258.93 | Facility | None | $131.83 | $141.25 | $1,258.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $776.25 Typical High $1,412.54 | Professional | None (both parts) | $660.69 | $776.25 | $1,412.54 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $125.89 Median $131.83 Typical High $144.54 | Professional | RR · Rental | $125.89 | $131.83 | $144.54 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $575.44 Typical High $1,071.52 | Professional | UE · Used equipment | $489.78 | $575.44 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $933.25 Typical High $1,778.28 | Professional | None (both parts) | $81.28 | $933.25 | $1,778.28 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $173.78 | Facility | None | $138.04 | $173.78 | $173.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $147.91 | $173.78 | $181.97 |
Network Health Setting Professional Modifier RR · Rental Typical Low $128.82 Median $169.82 Typical High $234.42 | Professional | RR · Rental | $128.82 | $169.82 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $977.24 Typical High $2,630.27 | Facility | None | $131.83 | $977.24 | $2,630.27 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $2,630.27 | Professional | None (both parts) | $134.90 | $134.90 | $2,630.27 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,290.87 | Facility | None | $912.01 | $2,089.30 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $162.18 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $162.18 | $933.25 | $1,445.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier RR · Rental Typical Low $79.43 Median $109.65 Typical High $138.04 | Professional | RR · Rental | $79.43 | $109.65 | $138.04 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $1,174.90 | Facility | None | $117.49 | $131.83 | $1,174.90 |
Premera BCBS Setting Facility Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $263.03 | Facility | RR · Rental | $117.49 | $117.49 | $263.03 |
Premera BCBS Setting Facility Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | UE · Used equipment | $891.25 | $891.25 | $891.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $1,318.26 | Professional | None (both parts) | $112.20 | $239.88 | $1,318.26 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | RR · Rental | $112.20 | $112.20 | $131.83 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | UE · Used equipment | $831.76 | $831.76 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $1,000.00 Typical High $1,621.81 | Facility | None | $109.65 | $1,000.00 | $1,621.81 |
Priority Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $794.33 Typical High $954.99 | Professional | None (both parts) | $676.08 | $794.33 | $954.99 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $794.33 Typical High $1,230.27 | Facility | None | $141.25 | $794.33 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $676.08 Median $794.33 Typical High $1,380.38 | Professional | None (both parts) | $676.08 | $794.33 | $1,380.38 |
Providence Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $144.54 | Professional | RR · Rental | $57.54 | $57.54 | $144.54 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $1,096.48 | Professional | UE · Used equipment | $501.19 | $501.19 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $338.84 | Professional | None | $147.91 | $223.87 | $338.84 |
Quartz Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $676.08 | $676.08 | $812.83 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $117.49 Median $131.83 Typical High $446.68 | Facility | RR · Rental | $117.49 | $131.83 | $446.68 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,380.38 Typical High $1,513.56 | Professional | None (both parts) | $1,023.29 | $1,380.38 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $1,380.38 Typical High $2,754.23 | Facility | None | $138.04 | $1,380.38 | $2,754.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $691.83 Typical High $1,412.54 | Professional | None (both parts) | $104.71 | $691.83 | $1,412.54 |
Select Health Setting Professional Modifier RR · Rental Typical Low $91.20 Median $138.04 Typical High $151.36 | Professional | RR · Rental | $91.20 | $138.04 | $151.36 |
Select Health Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,047.13 Typical High $1,096.48 | Professional | UE · Used equipment | $676.08 | $1,047.13 | $1,096.48 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $501.19 Typical High $1,348.96 | Facility | None | $87.10 | $501.19 | $1,348.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $1,047.13 | Professional | None (both parts) | $87.10 | $138.04 | $1,047.13 |
Sentara Setting Professional Modifier RR · Rental Typical Low $75.86 Median $95.50 Typical High $117.49 | Professional | RR · Rental | $75.86 | $95.50 | $117.49 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $1,288.25 | Professional | None | $91.20 | $131.83 | $1,288.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | RR · Rental | $100.00 | $100.00 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $676.08 Typical High $1,047.13 | Professional | None (both parts) | $407.38 | $676.08 | $1,047.13 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $67.61 Typical High $107.15 | Professional | RR · Rental | $40.74 | $67.61 | $107.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $501.19 Typical High $794.33 | Professional | UE · Used equipment | $302.00 | $501.19 | $794.33 |
Univera Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $1,348.96 | Professional | None (both parts) | $758.58 | $776.25 | $1,348.96 |
Univera Setting Professional Modifier RR · Rental Typical Low $75.86 Median $77.62 Typical High $112.20 | Professional | RR · Rental | $75.86 | $77.62 | $112.20 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $2,884.03 | Facility | None | $588.84 | $588.84 | $2,884.03 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,023.29 |
28 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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KURR · Bidding program group 3 + Rental | $141.25 | $141.25 | $141.25 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | 22 · Increased work | $1,862.09 | $2,187.76 | $2,187.76 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $117.49 | $117.49 | $154.88 |
BCBS Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $912.01 | $912.01 | $912.01 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $309.03 Typical High $371.54 | Professional | 55 · Aftercare only | $263.03 | $309.03 | $371.54 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $870.96 | $870.96 | $1,148.15 |
Excellus BCBS Setting Professional Modifier BP · Chose to purchase Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | BP · Chose to purchase | $1,122.02 | $1,122.02 | $1,122.02 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KH · Purchase or 1st rental month | $112.20 | $112.20 | $112.20 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KU · Bidding program group 3 | $1,380.38 | $1,380.38 | $1,380.38 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | RB · Replacement part | $1,445.44 | $1,445.44 | $1,445.44 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | KJ · Rental month 4–15 | $104.71 | $104.71 | $109.65 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KURR · Bidding program group 3 + Rental | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $691.83 Typical High $1,122.02 | Professional | 50 · Both sides | $691.83 | $691.83 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | 51 · Multiple procedures | $229.09 | $229.09 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | 80 · Assistant surgeon | $91.20 | $91.20 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $64.57 | $64.57 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $64.57 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | AS · PA/NP assist | $64.57 | $64.57 | $104.71 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | SH · Second concurrent infusion | $229.09 | $229.09 | $229.09 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | SJ · Third+ concurrent infusion | $229.09 | $229.09 | $229.09 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | NR · New when rented | $1,174.90 | $1,174.90 | $1,174.90 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | NR · New when rented | $1,122.02 | $1,122.02 | $1,318.26 |
Select Health Setting Professional Modifier KU · Bidding program group 3 Typical Low $912.01 Median $1,412.54 Typical High $1,548.82 | Professional | KU · Bidding program group 3 | $912.01 | $1,412.54 | $1,548.82 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | BP · Chose to purchase | $1,122.02 | $1,122.02 | $1,122.02 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KH · Purchase or 1st rental month | $112.20 | $112.20 | $112.20 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KU · Bidding program group 3 | $1,380.38 | $1,380.38 | $1,380.38 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | RB · Replacement part | $1,445.44 | $1,445.44 | $1,445.44 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $1,122.02 Median $1,445.44 Typical High $2,630.27 | Facility | KU · Bidding program group 3 | $1,122.02 | $1,445.44 | $2,630.27 |
What it costs in each state
The same service costs 11.5 times more in North Dakota than in New Mexico. 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 $1,549NM $135
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.