How much rates vary
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
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 $218.78 Median $281.84 Typical High $1,174.90 | Facility | None | $218.78 | $281.84 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $190.55 | $302.00 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $302.00 | Professional | RR · Rental | $30.20 | $30.20 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $181.97 | $223.87 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
BCBS Arizona Setting Facility Modifier None Typical Low $61.66 Median $275.42 Typical High $416.87 | Facility | None | $61.66 | $275.42 | $416.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $177.83 | $204.17 | $371.54 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $213.80 | $234.42 | $281.84 |
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 Michigan Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $1,621.81 | Facility | None | $346.74 | $851.14 | $1,621.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $275.42 | $288.40 | $288.40 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | RR · Rental | $288.40 | $288.40 | $288.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $331.13 | Facility | None | $56.23 | $58.88 | $331.13 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $46.77 | $58.88 | $58.88 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $45.71 | $53.70 | $60.26 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $158.49 | $199.53 | $229.09 |
BCBS Texas 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 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,819.70 Typical High $2,691.53 | Professional | None (both parts) | $1,258.93 | $1,819.70 | $2,691.53 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $741.31 | Professional | None (both parts) | $398.11 | $630.96 | $741.31 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $660.69 | Professional | None (both parts) | $575.44 | $575.44 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $630.96 | Facility | None | $346.74 | $346.74 | $630.96 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,258.93 | $1,479.11 | $1,479.11 |
Denver HMP Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $501.19 | Facility | None | $346.74 | $346.74 | $501.19 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $616.60 | $776.25 | $776.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $776.25 Typical High $933.25 | Professional | None (both parts) | $120.23 | $776.25 | $933.25 |
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 $588.84 Median $588.84 Typical High $602.56 | Professional | None (both parts) | $588.84 | $588.84 | $602.56 |
HMSA 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 |
Hally Health Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,000.00 | Professional | None | $707.95 | $831.76 | $1,000.00 |
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $4,786.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Health New England Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $870.96 Typical High $1,122.02 | Professional | None | $407.38 | $870.96 | $1,122.02 |
MVP Health Care Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Martin's Point Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
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 $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $616.60 | Facility | None | $295.12 | $346.74 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $724.44 Typical High $4,786.30 | Professional | None (both parts) | $346.74 | $724.44 | $4,786.30 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Midlands Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $501.19 | Facility | None | $346.74 | $346.74 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $100.00 Typical High $346.74 | Professional | None (both parts) | $30.20 | $100.00 | $346.74 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $630.96 | Facility | None | $346.74 | $346.74 | $630.96 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $501.19 | Facility | None | $346.74 | $346.74 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $70.79 | $79.43 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $954.99 | Professional | None | $588.84 | $645.65 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $426.58 Typical High $10,232.93 | Facility | None | $64.57 | $426.58 | $10,232.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $64.57 Median $426.58 Typical High $4,570.88 | Professional | None (both parts) | $64.57 | $426.58 | $4,570.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $64.57 | $4,786.30 | $4,786.30 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $776.25 Typical High $912.01 | Facility | None | $120.23 | $776.25 | $912.01 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $776.25 Typical High $933.25 | Professional | None (both parts) | $120.23 | $776.25 | $933.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $25.12 | $33.11 |
What it costs in each state
The same service costs 28.2 times more in South Dakota than in Hawaii. 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.
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.