How much rates vary
Facilitymedian $100 · 10th to 90th $18 to $7,943Professionalmedian $3,548 · 10th to 90th $81 to $3,548
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 Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.02 Median $2,511.89 Typical High $2,511.89 | Professional | None | $0.02 | $2,511.89 | $2,511.89 |
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 $17.78 Median $81.28 Typical High $123.03 | Facility | None | $17.78 | $81.28 | $123.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $107.15 | Professional | None | $51.29 | $58.88 | $107.15 |
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 $5,011.87 Median $10,000.00 Typical High $19,054.61 | Facility | None | $5,011.87 | $10,000.00 | $19,054.61 |
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 Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None | $58,884.37 | $58,884.37 | $58,884.37 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $89,125.09 | Facility | None | $64.57 | $64.57 | $89,125.09 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
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 $100.00 Median $151.36 Typical High $346.74 | Professional | None | $100.00 | $151.36 | $346.74 |
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 |
Highmark BCBS Setting Professional Modifier None Typical Low $4,897.79 Median $6,918.31 Typical High $7,079.46 | Professional | None | $4,897.79 | $6,918.31 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $407.38 Typical High $831.76 | Professional | None | $141.25 | $407.38 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
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 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $1,698.24 | Facility | None | $100.00 | $100.00 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $1,698.24 Typical High $33,113.11 | Professional | None | $501.19 | $1,698.24 | $33,113.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $81.28 | Professional | None | $30.20 | $30.20 | $81.28 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Pacific Source Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 Typical Low $0.02 Median $0.02 Typical High $245.47 | Professional | None | $0.02 | $0.02 | $245.47 |
Priority Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Providence Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Quartz Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
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 $2,511.89 Median $5,011.87 Typical High $6,309.57 | Professional | None | $2,511.89 | $5,011.87 | $6,309.57 |
Sentara Setting Facility Modifier None Typical Low $138.04 Median $10,232.93 Typical High $11,481.54 | Facility | None | $138.04 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $11,481.54 | Professional | None | $138.04 | $138.04 | $11,481.54 |
United Setting Professional Modifier None Typical Low $13.18 Median $32.36 Typical High $64.57 | Professional | None | $13.18 | $32.36 | $64.57 |
Univera Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | None | $0.10 | $0.10 | $0.10 |
Univera Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
University Health Alliance Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Wellpoint Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 UE · Used equipment Typical Low $0.02 Median $0.02 Typical High $0.03 | Professional | UE · Used equipment | $0.02 | $0.02 | $0.03 |
What it costs in each state
The same service costs 275.4 times more in Michigan 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.
MI $8,318SC $30.20
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.