How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $4Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.05 Median $0.05 Typical High $0.11 | Facility | None | $0.05 | $0.05 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | None | $0.05 | $0.05 | $0.06 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1.26 Median $3.47 Typical High $4.17 | Facility | None | $1.26 | $3.47 | $4.17 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $1.26 | Professional | None | $0.02 | $0.02 | $1.26 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | None | $6.31 | $6.31 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.05 Median $0.24 Typical High $0.25 | Facility | None | $0.05 | $0.24 | $0.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.05 Median $0.13 Typical High $0.21 | Professional | None | $0.05 | $0.13 | $0.21 |
BCBS Arkansas Setting Facility Modifier None Typical Low $0.22 Median $0.22 Typical High $0.22 | Facility | None | $0.22 | $0.22 | $0.22 |
BCBS Arkansas Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | None | $0.22 | $0.22 | $0.22 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.05 Median $0.06 Typical High $0.08 | Facility | None | $0.05 | $0.06 | $0.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $3.98 Median $4.17 Typical High $4.17 | Facility | None | $3.98 | $4.17 | $4.17 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
BCBS Louisiana Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.12 | Facility | None | $0.06 | $0.06 | $0.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.23 Median $0.35 Typical High $0.46 | Facility | None | $0.23 | $0.35 | $0.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.18 Median $0.23 Typical High $0.23 | Professional | None | $0.18 | $0.23 | $0.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.06 | Facility | None | $0.05 | $0.05 | $0.06 |
BCBS Mississippi Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $0.56 Median $0.91 Typical High $1.41 | Facility | None | $0.56 | $0.91 | $1.41 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
BCBS Texas Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.29 Median $2.63 Typical High $3.09 | Facility | None | $2.29 | $2.63 | $3.09 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $0.05 Median $0.08 Typical High $0.19 | Facility | None | $0.05 | $0.08 | $0.19 |
Cigna Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $1.51 | Professional | None | $0.05 | $0.05 | $1.51 |
ConnectiCare Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
DeanCare Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Facility | None | $0.04 | $0.04 | $0.05 |
DeanCare Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Denver HMP Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.07 | Facility | None | $0.05 | $0.05 | $0.07 |
Denver HMP Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Emblem Health Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $6.61 | Professional | None | $0.06 | $0.06 | $6.61 |
Hally Health Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $9.33 | Professional | None | $6.61 | $8.51 | $9.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $0.08 | Professional | None | $0.02 | $0.03 | $0.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.06 Median $0.16 Typical High $0.17 | Facility | None | $0.06 | $0.16 | $0.17 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.04 Median $0.05 Typical High $0.07 | Professional | None | $0.04 | $0.05 | $0.07 |
Health Partners Setting Facility Modifier None Typical Low $1.51 Median $3.72 Typical High $5.62 | Facility | None | $1.51 | $3.72 | $5.62 |
Health Partners Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Horizon BCBS Setting Professional Modifier None Typical Low $0.06 Median $2.88 Typical High $2.88 | Professional | None | $0.06 | $2.88 | $2.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.09 Median $2.00 Typical High $7.08 | Professional | None | $0.09 | $2.00 | $7.08 |
MVP Health Care Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Martin's Point Setting Facility Modifier None Typical Low $0.05 Median $0.08 Typical High $0.08 | Facility | None | $0.05 | $0.08 | $0.08 |
Martin's Point Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Mass General Brigham Setting Facility Modifier None Typical Low $1.26 Median $3.47 Typical High $4.17 | Facility | None | $1.26 | $3.47 | $4.17 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $1.26 | Professional | None | $0.02 | $0.02 | $1.26 |
Medcost Setting Facility Modifier None Typical Low $0.04 Median $0.06 Typical High $0.08 | Facility | None | $0.04 | $0.06 | $0.08 |
Medcost Setting Professional Modifier None Typical Low $0.05 Median $3.09 Typical High $3.09 | Professional | None | $0.05 | $3.09 | $3.09 |
Medica Setting Facility Modifier None Typical Low $0.04 Median $0.05 Typical High $0.14 | Facility | None | $0.04 | $0.05 | $0.14 |
Medica Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.05 | Professional | None | $0.02 | $0.02 | $0.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $0.11 Median $0.11 Typical High $0.14 | Facility | None | $0.11 | $0.11 | $0.14 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Midlands Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Moda Health Setting Facility Modifier None Typical Low $0.04 Median $0.06 Typical High $0.12 | Facility | None | $0.04 | $0.06 | $0.12 |
Moda Health Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Molina Setting Professional Modifier None Typical Low $0.25 Median $0.30 Typical High $0.46 | Professional | None | $0.25 | $0.30 | $0.46 |
Pacific Source Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Prevea360 Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Facility | None | $0.04 | $0.04 | $0.05 |
Prevea360 Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Priority Health Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Providence Setting Facility Modifier None Typical Low $0.05 Median $0.07 Typical High $0.43 | Facility | None | $0.05 | $0.07 | $0.43 |
Providence Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Quartz Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $6.31 | Professional | None | $4.17 | $4.90 | $6.31 |
Quartz Setting Facility Modifier None Typical Low $0.07 Median $0.15 Typical High $0.15 | Facility | None | $0.07 | $0.15 | $0.15 |
Quartz Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Select Health Setting Facility Modifier None Typical Low $0.07 Median $0.08 Typical High $0.11 | Facility | None | $0.07 | $0.08 | $0.11 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
Univera Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
Univera Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None | $0.04 | $0.04 | $0.04 |
Wellpoint Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
4 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.04 Median $1.55 Typical High $1.55 | Professional | 51 · Multiple procedures | $0.04 | $1.55 | $1.55 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | SH · Second concurrent infusion | $1.55 | $1.55 | $1.55 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | SJ · Third+ concurrent infusion | $1.55 | $1.55 | $1.55 |
Security Health Setting Professional Modifier Y1 Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | Y1 | $0.28 | $0.28 | $0.28 |
What it costs in each state
The same service costs 26.9 times more in Oklahoma than in South Carolina. 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 $0.54SC $0.02
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.