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 $0.09 Median $0.09 Typical High $0.11 | Facility | None | $0.09 | $0.09 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $3.31 | Facility | None | $1.74 | $1.74 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.34 | Professional | None | $1.74 | $1.74 | $2.34 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.08 Median $0.33 Typical High $0.49 | Facility | None | $0.08 | $0.33 | $0.49 |
BCBS Arizona Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.17 | Professional | None | $0.09 | $0.09 | $0.17 |
BCBS Arkansas Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | None | $0.09 | $0.09 | $0.09 |
BCBS Arkansas Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.08 Median $0.14 Typical High $0.28 | Facility | None | $0.08 | $0.14 | $0.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | None | $1.00 | $1.00 | $1.00 |
BCBS Nebraska Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $346.74 | Facility | None | $128.82 | $173.78 | $346.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.14 Median $0.15 Typical High $0.16 | Professional | None | $0.14 | $0.15 | $0.16 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.18 Median $0.18 Typical High $0.34 | Facility | None | $0.18 | $0.18 | $0.34 |
BCBS Texas Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Blue Shield Setting Professional Modifier None Typical Low $3.31 Median $5.01 Typical High $5.62 | Professional | None | $3.31 | $5.01 | $5.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.70 Median $1.91 Typical High $5,011.87 | Facility | None | $1.70 | $1.91 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.00 | Professional | None | $1.95 | $1.95 | $2.00 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
DeanCare Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | None | $0.09 | $0.09 | $0.09 |
DeanCare Setting Professional Modifier None Typical Low $2.88 Median $3.16 Typical High $3.39 | Professional | None | $2.88 | $3.16 | $3.39 |
Denver HMP Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.13 | Facility | None | $0.09 | $0.09 | $0.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
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 $0.83 Median $1.12 Typical High $1.58 | Professional | None | $0.83 | $1.12 | $1.58 |
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 $0.09 Median $0.09 Typical High $0.38 | Facility | None | $0.09 | $0.09 | $0.38 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.07 Median $0.09 Typical High $0.09 | Professional | None | $0.07 | $0.09 | $0.09 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,456.54 | Facility | None | $5,888.44 | $5,888.44 | $6,456.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
MVP Health Care Setting Professional Modifier None Typical Low $0.02 Median $0.03 Typical High $0.07 | Professional | None | $0.02 | $0.03 | $0.07 |
Martin's Point Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | None | $0.09 | $0.09 | $0.09 |
Martin's Point Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Medcost Setting Facility Modifier None Typical Low $0.09 Median $0.10 Typical High $0.14 | Facility | None | $0.09 | $0.10 | $0.14 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $0.09 Median $0.13 Typical High $100.00 | Facility | None | $0.09 | $0.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $0.09 Median $128.82 Typical High $131.83 | Professional | None | $0.09 | $128.82 | $131.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | None | $131.83 | $131.83 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $0.09 Median $0.13 Typical High $0.34 | Facility | None | $0.09 | $0.13 | $0.34 |
Moda Health Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $60.26 | Professional | None | $30.20 | $39.81 | $60.26 |
Oscar Health Setting Professional Modifier None Typical Low $0.20 Median $0.23 Typical High $0.28 | Professional | None | $0.20 | $0.23 | $0.28 |
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 |
Prevea360 Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | None | $0.09 | $0.09 | $0.09 |
Priority Health Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
Providence Setting Facility Modifier None Typical Low $0.09 Median $0.13 Typical High $0.14 | Facility | None | $0.09 | $0.13 | $0.14 |
Providence Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
Quartz Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
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 $8,511.38 | Professional | None | $5,011.87 | $5,011.87 | $8,511.38 |
SummaCare Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.87 Median $1.10 Typical High $1.78 | Facility | None | $0.87 | $1.10 | $1.78 |
United Setting Professional Modifier None Typical Low $0.38 Median $44.67 Typical High $64.57 | Professional | None | $0.38 | $44.67 | $64.57 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.90 Typical High $39.81 | Facility | None | $30.20 | $30.90 | $39.81 |
Univera Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,467.37 | $5,128.61 |
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 |
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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | GL · Free upgrade | $20.89 | $20.89 | $20.89 |
What it costs in each state
The same service costs 1122.0 times more in Montana than in Oregon. 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.