How much rates vary
Facilitymedian $5,129 · 10th to 90th $501 to $17,378Professionalmedian $5,248 · 10th to 90th $646 to $6,918
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 $5,128.61 Median $6,918.31 Typical High $6,918.31 | Facility | None | $5,128.61 | $6,918.31 | $6,918.31 |
Aetna Setting Facility Modifier UE · Used equipment Typical Low $4,073.80 Median $5,128.61 Typical High $5,128.61 | Facility | UE · Used equipment | $4,073.80 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $6,918.31 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $6,918.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $5,128.61 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $5,128.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Facility | None | $54.95 | $54.95 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $3,467.37 | Facility | None | $616.60 | $794.33 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $7,413.10 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $7,413.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $524.81 Median $524.81 Typical High $741.31 | Professional | RR · Rental | $524.81 | $524.81 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $3,981.07 Typical High $4,786.30 | Professional | UE · Used equipment | $3,981.07 | $3,981.07 | $4,786.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $154.88 Median $691.83 Typical High $1,047.13 | Facility | None | $154.88 | $691.83 | $1,047.13 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,981.07 Typical High $5,011.87 | Professional | None (both parts) | $3,019.95 | $3,981.07 | $5,011.87 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $6,918.31 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $6,918.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $81,283.05 | Facility | None | $954.99 | $1,819.70 | $81,283.05 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,819.70 Typical High $56,234.13 | Professional | None (both parts) | $1,202.26 | $1,819.70 | $56,234.13 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $1,202.26 Median $1,258.93 Typical High $1,258.93 | Professional | RR · Rental | $1,202.26 | $1,258.93 | $1,258.93 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None (both parts) | $5,754.40 | $5,754.40 | $5,754.40 |
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 Massachusetts Setting Facility Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $8,317.64 | Facility | None | $5,370.32 | $6,165.95 | $8,317.64 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,862.09 Median $18,620.87 Typical High $44,668.36 | Facility | None | $1,862.09 | $18,620.87 | $44,668.36 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $7,413.10 Median $10,000.00 Typical High $10,471.29 | Professional | None (both parts) | $7,413.10 | $10,000.00 | $10,471.29 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $794.33 | $794.33 | $794.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $23,442.29 | Facility | None | $3,981.07 | $4,168.69 | $23,442.29 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $2,754.23 | $4,168.69 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier RR · Rental Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $338.84 | $416.87 | $416.87 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $549.54 | $645.65 | $645.65 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $45.71 | $53.70 | $53.70 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | RR · Rental | $331.13 | $331.13 | $331.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $4,365.16 | $5,495.41 | $5,495.41 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $331.13 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $331.13 | $549.54 | $549.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,011.87 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | RR · Rental | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $15,848.93 Typical High $41,686.94 | Facility | None | $10,715.19 | $15,848.93 | $41,686.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,623.41 Median $7,079.46 Typical High $7,079.46 | Professional | None (both parts) | $5,623.41 | $7,079.46 | $7,079.46 |
DeanCare Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $9,332.54 | Facility | None | $5,128.61 | $5,128.61 | $9,332.54 |
Denver HMP Setting Facility Modifier None Typical Low $5,128.61 Median $6,918.31 Typical High $9,772.37 | Facility | None | $5,128.61 | $6,918.31 | $9,772.37 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None (both parts) | $4,570.88 | $4,570.88 | $4,570.88 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $199.53 | Professional | None | $100.00 | $100.00 | $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 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5,128.61 Median $6,025.60 Typical High $6,606.93 | Facility | None | $5,128.61 | $6,025.60 | $6,606.93 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $2,238.72 | $5,128.61 | $5,128.61 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $10,715.19 Median $16,982.44 Typical High $39,810.72 | Facility | None | $10,715.19 | $16,982.44 | $39,810.72 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $4,466.84 | $5,623.41 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Martin's Point Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $5,128.61 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $4,073.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Facility | None | $54.95 | $54.95 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $6,918.31 | Facility | None | $5,128.61 | $5,128.61 | $6,918.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $5,128.61 Typical High $9,120.11 | Facility | None | $302.00 | $5,128.61 | $9,120.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $263.03 | $5,128.61 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $7,413.10 | Facility | None | $5,128.61 | $5,128.61 | $7,413.10 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $5,128.61 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $4,073.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $275.42 Typical High $776.25 | Professional | None (both parts) | $30.20 | $275.42 | $776.25 |
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 |
Prevea360 Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $9,332.54 | Facility | None | $5,128.61 | $5,128.61 | $9,332.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $5,623.41 | $5,623.41 | $5,623.41 |
Providence Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $8,511.38 | Facility | None | $5,128.61 | $5,128.61 | $8,511.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $15,488.17 | Professional | None (both parts) | $79.43 | $79.43 | $15,488.17 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $5,011.87 | Facility | None | $1,479.11 | $2,041.74 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $5,011.87 Typical High $7,943.28 | Professional | None (both parts) | $2,511.89 | $5,011.87 | $7,943.28 |
Sentara Setting Facility Modifier None Typical Low $549.54 Median $10,232.93 Typical High $11,481.54 | Facility | None | $549.54 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $371.54 Median $1,819.70 Typical High $2,884.03 | Facility | RR · Rental | $371.54 | $1,819.70 | $2,884.03 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier RR · Rental Typical Low $181.97 Median $229.09 Typical High $309.03 | Professional | RR · Rental | $181.97 | $229.09 | $309.03 |
Univera Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Univera Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $5,623.41 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $5,623.41 |
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 |
|---|---|---|---|---|---|
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $691.83 | Professional | 26 · Professional part | $524.81 | $524.81 | $691.83 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $3,890.45 Median $3,890.45 Typical High $5,248.07 | Professional | TC · Technical part | $3,890.45 | $3,890.45 | $5,248.07 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | 22 · Increased work | $660.69 | $776.25 | $776.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $109.65 | $128.82 | $128.82 |
What it costs in each state
The same service costs 234422.9 times more in South Dakota 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.
SD $7,079LA $0.03
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.