How much rates vary
Facilitymedian $25 · 10th to 90th $0 to $100Professionalmedian $6 · 10th to 90th $4 to $40
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 Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $7.94 | Professional | None | $4.68 | $5.62 | $7.94 |
BCBS Setting Facility Modifier None Typical Low $0.02 Median $5.50 Typical High $13.80 | Facility | None | $0.02 | $5.50 | $13.80 |
BCBS Setting Professional Modifier None Typical Low $2.88 Median $3.09 Typical High $45.71 | Professional | None | $2.88 | $3.09 | $45.71 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
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 |
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 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $199.53 | Professional | None | $120.23 | $158.49 | $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 Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $630.96 | Professional | None | $120.23 | $151.36 | $630.96 |
Martin's Point Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $42.66 Typical High $100.00 | Facility | None | $25.12 | $42.66 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $85.11 | Professional | None | $30.20 | $39.81 | $85.11 |
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 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $27.54 Typical High $35.48 | Facility | None | $25.12 | $27.54 | $35.48 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None | $70.79 | $79.43 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
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 Typical Low $5,011.87 Median $5,011.87 Typical High $6,309.57 | Professional | None | $5,011.87 | $5,011.87 | $6,309.57 |
Sentara Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | None | $64.57 | $64.57 | $100.00 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Well Sense Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
3 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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 22 · Increased work Typical Low $4.57 Median $6.17 Typical High $6.31 | Professional | 22 · Increased work | $4.57 | $6.17 | $6.31 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $1.02 Typical High $1.05 | Professional | 55 · Aftercare only | $0.78 | $1.02 | $1.05 |
BCBS Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
What it costs in each state
The same service costs 3981.1 times more in Montana than in Louisiana. 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 $79.43LA $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.