How much rates vary
Facilitymedian $42 · 10th to 90th $11 to $115Professionalmedian $21 · 10th to 90th $11 to $41
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 $10.23 Median $29.51 Typical High $29.51 | Facility | None | $10.23 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.12 Median $14.79 Typical High $29.51 | Professional | None (both parts) | $9.12 | $14.79 | $29.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $64.57 | Facility | None | $58.88 | $61.66 | $64.57 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.50 Typical High $26.30 | Professional | None (both parts) | $15.14 | $19.50 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $3.24 Median $9.12 Typical High $28.18 | Professional | None (both parts) | $3.24 | $9.12 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $38.02 | Facility | None | $19.95 | $19.95 | $38.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.79 Median $33.88 Typical High $44.67 | Professional | None (both parts) | $14.79 | $33.88 | $44.67 |
BCBS Alabama Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.38 Median $74.13 Typical High $144.54 | Facility | None | $21.38 | $74.13 | $144.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $23.44 | Professional | None (both parts) | $15.85 | $15.85 | $23.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $50.12 Median $53.70 Typical High $60.26 | Facility | None | $50.12 | $53.70 | $60.26 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | None (both parts) | $33.88 | $33.88 | $47.86 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | None (both parts) | $16.98 | $16.98 | $20.89 |
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 $19.95 Median $19.95 Typical High $20.42 | Professional | None (both parts) | $19.95 | $19.95 | $20.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $36.31 Median $102.33 Typical High $204.17 | Facility | None | $36.31 | $102.33 | $204.17 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $21.88 | $24.55 | $24.55 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $56.23 | $61.66 | $61.66 |
BCBS Nebraska Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $562.34 | Facility | None | $208.93 | $275.42 | $562.34 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $57.54 | $77.62 | $77.62 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $30.20 | $30.20 | $47.86 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $72.44 | Professional | None (both parts) | $63.10 | $70.79 | $72.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Vermont Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $18.62 | $26.30 | $26.30 |
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 $21.38 Median $21.38 Typical High $22.39 | Professional | None (both parts) | $21.38 | $21.38 | $22.39 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $32.36 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $147.91 | Facility | None | $47.86 | $60.26 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $25.12 | Professional | None (both parts) | $10.72 | $10.72 | $25.12 |
DeanCare Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $18.20 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $18.20 | $37.15 | $37.15 |
Denver HMP Setting Facility Modifier None Typical Low $26.30 Median $29.51 Typical High $42.66 | Facility | None | $26.30 | $29.51 | $42.66 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | None | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None (both parts) | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $95.50 | Facility | None | $72.44 | $89.13 | $95.50 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $46.77 | $109.65 | $117.49 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $3,630.78 Typical High $9,772.37 | Facility | None | $56.23 | $3,630.78 | $9,772.37 |
Hally Health Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $54.95 | Professional | None | $25.12 | $37.15 | $54.95 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $14.79 Median $38.02 Typical High $41.69 | Facility | None | $14.79 | $38.02 | $41.69 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.13 | $14.79 | $14.79 |
Health Partners Setting Facility Modifier None Typical Low $37.15 Median $58.88 Typical High $141.25 | Facility | None | $37.15 | $58.88 | $141.25 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.02 Median $66.07 Typical High $208.93 | Facility | None | $38.02 | $66.07 | $208.93 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None (both parts) | $13.80 | $13.80 | $13.80 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $426.58 Median $707.95 Typical High $812.83 | Professional | None (both parts) | $426.58 | $707.95 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $89.13 | Professional | None | $23.99 | $30.20 | $89.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | None (both parts) | $23.44 | $23.44 | $24.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $58.88 | $60.26 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $13.80 Median $14.79 Typical High $29.51 | Facility | None | $13.80 | $14.79 | $29.51 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $13.80 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $13.80 | $14.79 | $14.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $64.57 | Facility | None | $58.88 | $61.66 | $64.57 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.50 Typical High $26.30 | Professional | None (both parts) | $15.14 | $19.50 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $29.51 | Facility | None | $14.79 | $14.79 | $29.51 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.85 Median $33.88 Typical High $56.23 | Professional | None (both parts) | $15.85 | $33.88 | $56.23 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $100.00 | Facility | None | $14.79 | $27.54 | $100.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $19.95 | Professional | None (both parts) | $15.14 | $15.14 | $19.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None (both parts) | $10.72 | $10.72 | $10.72 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $20.89 | Facility | None | $14.79 | $14.79 | $20.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.79 | $14.79 | $14.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $9.55 | $33.88 | $46.77 |
Optum Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $22.91 | Professional | None (both parts) | $15.14 | $15.14 | $22.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $56.23 | Facility | None | $33.88 | $56.23 | $56.23 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $33.88 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $33.88 | $56.23 | $56.23 |
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Prevea360 Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $19.95 | Professional | None (both parts) | $10.72 | $10.72 | $19.95 |
Providence Setting Facility Modifier None Typical Low $9.12 Median $14.79 Typical High $29.51 | Facility | None | $9.12 | $14.79 | $29.51 |
Providence Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $79.43 | Professional | None (both parts) | $10.72 | $10.72 | $79.43 |
Quartz Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None (both parts) | $10.72 | $10.72 | $10.72 |
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 $3,890.45 Median $4,466.84 Typical High $5,011.87 | Professional | None (both parts) | $3,890.45 | $4,466.84 | $5,011.87 |
Sentara Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $10,232.93 | Facility | None | $33.11 | $33.11 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $50.12 | $50.12 | $70.79 |
Tufts Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $25.12 | $33.11 | $33.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $100.00 | Facility | None | $44.67 | $60.26 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $34.67 | Professional | None (both parts) | $15.14 | $15.14 | $34.67 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $102.33 | Facility | None | $69.18 | $91.20 | $102.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $46.77 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $46.77 | $89.13 | $117.49 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $95.50 Typical High $95.50 | Facility | None | $44.67 | $95.50 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
39 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 H9 · Court ordered Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | H9 · Court ordered | $19.50 | $19.50 | $26.30 |
AllWays Health Partners Setting Professional Modifier HD · Pregnant/parenting women Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | HD · Pregnant/parenting women | $19.50 | $19.50 | $26.30 |
AllWays Health Partners Setting Professional Modifier TF · Intermediate care level Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | TF · Intermediate care level | $19.50 | $28.84 | $51.29 |
Ambetter Setting Professional Modifier FQ · Audio-only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | FQ · Audio-only | $22.39 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | HE · Mental health program | $7.41 | $7.41 | $7.41 |
Ambetter Setting Professional Modifier HF · Substance use program Typical Low $14.45 Median $14.45 Typical High $27.54 | Professional | HF · Substance use program | $14.45 | $14.45 | $27.54 |
Ambetter Setting Professional Modifier HG · Opioid treatment program Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | HG · Opioid treatment program | $8.51 | $8.51 | $8.51 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | HO · Master's level | $6.76 | $6.76 | $6.76 |
Ambetter Setting Professional Modifier HQ · Group setting Typical Low $6.61 Median $7.94 Typical High $15.14 | Professional | HQ · Group setting | $6.61 | $7.94 | $15.14 |
Ambetter Setting Professional Modifier HS · Family, patient absent Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | HS · Family, patient absent | $36.31 | $36.31 | $39.81 |
Ambetter Setting Professional Modifier SE · Publicly funded program Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | SE · Publicly funded program | $23.44 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier TG · Complex care level Typical Low $6.31 Median $6.31 Typical High $41.69 | Professional | TG · Complex care level | $6.31 | $6.31 | $41.69 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | U4 · State-defined | $5.13 | $5.13 | $5.13 |
Ambetter Setting Professional Modifier U6 · State-defined Typical Low $5.50 Median $5.50 Typical High $9.77 | Professional | U6 · State-defined | $5.50 | $5.50 | $9.77 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $37.15 Median $43.65 Typical High $57.54 | Professional | 22 · Increased work | $37.15 | $43.65 | $57.54 |
BCBS North Dakota Setting Professional Modifier UA · State-defined Typical Low $31.62 Median $36.31 Typical High $47.86 | Professional | UA · State-defined | $31.62 | $36.31 | $47.86 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | 29 | $47.86 | $47.86 | $48.98 |
Emblem Health Setting Facility Modifier 59 · Distinct service Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 59 · Distinct service | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AF · Specialist physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AF · Specialist physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier AG · Primary physician Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | AG · Primary physician | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HF · Substance use program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HF · Substance use program | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier HG · Opioid treatment program Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | HG · Opioid treatment program | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier SA · Nurse practitioner Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | SA · Nurse practitioner | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U4 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U4 · State-defined | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Facility Modifier U5 · State-defined Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | U5 · State-defined | $0.10 | $0.10 | $0.10 |
Mass General Brigham Setting Professional Modifier H9 · Court ordered Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | H9 · Court ordered | $19.50 | $19.50 | $26.30 |
Mass General Brigham Setting Professional Modifier HD · Pregnant/parenting women Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | HD · Pregnant/parenting women | $19.50 | $19.50 | $26.30 |
Mass General Brigham Setting Professional Modifier TF · Intermediate care level Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | TF · Intermediate care level | $19.50 | $28.84 | $51.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $19.50 | $25.12 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $23.44 Median $51.29 Typical High $85.11 | Professional | 50 · Both sides | $23.44 | $51.29 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.76 Median $16.98 Typical High $28.18 | Professional | 51 · Multiple procedures | $7.76 | $16.98 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.16 Median $6.76 Typical High $11.22 | Professional | 80 · Assistant surgeon | $3.16 | $6.76 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.19 Median $4.79 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $2.19 | $4.79 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.19 Median $4.79 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $2.19 | $4.79 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.19 Median $4.79 Typical High $7.94 | Professional | AS · PA/NP assist | $2.19 | $4.79 | $7.94 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $13.49 | $29.51 | $37.15 |
MountainHealth Co-op Setting Facility Modifier CSTM-00 Typical Low $229.09 Median $229.09 Typical High $331.13 | Facility | CSTM-00 | $229.09 | $229.09 | $331.13 |
UPMC Health Plan Setting Professional Modifier HE · Mental health program + HK · High-risk mental health + HT · Multidisciplinary team + UK · On patient's behalf Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | HE · Mental health program + HK · High-risk mental health + HT · Multidisciplinary team + UK · On patient's behalf | $28.84 | $28.84 | $28.84 |
Well Sense Setting Facility Modifier TF · Intermediate care level Typical Low $19.95 Median $19.95 Typical High $21.88 | Facility | TF · Intermediate care level | $19.95 | $19.95 | $21.88 |
What it costs in each state
The same service costs 8.7 times more in Montana than in California. 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.
MT $79.43CA $9.12
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.