How much rates vary
Facilitymedian $35 · 10th to 90th $0 to $5,129Professionalmedian $35 · 10th to 90th $13 to $10,000
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $1,000.00 | Professional | None | $12.88 | $12.88 | $1,000.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.37 Median $22.91 Typical High $34.67 | Facility | None | $5.37 | $22.91 | $34.67 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.98 | Professional | None | $14.13 | $14.13 | $16.98 |
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 North Carolina Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | None | $34.67 | $34.67 | $37.15 |
BCBS North Dakota Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
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 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $32.36 | Facility | None | $20.42 | $24.55 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $85,113.80 | Professional | None | $20.89 | $28.18 | $85,113.80 |
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 $1.02 Median $14.45 Typical High $100.00 | Professional | None | $1.02 | $14.45 | $100.00 |
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 $199.53 Typical High $346.74 | Professional | None | $120.23 | $199.53 | $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 |
Health Alliance Plan Setting Facility Modifier None Typical Low $16.98 Median $18.62 Typical High $19.95 | Facility | None | $16.98 | $18.62 | $19.95 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $9.55 | Professional | None | $5.75 | $6.92 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | None | $27.54 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $100.00 | Facility | None | $89.13 | $100.00 | $100.00 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $33.88 Typical High $100.00 | Professional | None | $14.45 | $33.88 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $19.05 Median $79.43 Typical High $79.43 | Professional | None | $19.05 | $79.43 | $79.43 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $30.20 | Professional | None | $18.20 | $30.20 | $30.20 |
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 $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Premera BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Premera BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | None | $79.43 | $100.00 | $100.00 |
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 $4,466.84 Median $5,011.87 Typical High $5,128.61 | Professional | None | $4,466.84 | $5,011.87 | $5,128.61 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
United Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $60.26 | Professional | None | $34.67 | $42.66 | $60.26 |
United Setting Professional Modifier PP · Ambulance P to P Typical Low $3.02 Median $3.98 Typical High $8.51 | Professional | PP · Ambulance P to P | $3.02 | $3.98 | $8.51 |
United Setting Professional Modifier SW · Diabetes educator Typical Low $2.00 Median $3.98 Typical High $6.03 | Professional | SW · Diabetes educator | $2.00 | $3.98 | $6.03 |
Well Sense Setting Facility Modifier None Typical Low $74.13 Median $3,019.95 Typical High $5,623.41 | Facility | None | $74.13 | $3,019.95 | $5,623.41 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,897.79 | Professional | None | $2,511.89 | $2,511.89 | $4,897.79 |
28 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 |
|---|---|---|---|---|---|
AmeriHealth Setting Professional Modifier BL · Special blood acquisition Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | BL · Special blood acquisition | $10.00 | $10.00 | $10.00 |
AmeriHealth Setting Professional Modifier EP · Child screening program Typical Low $14.13 Median $14.13 Typical High $21.88 | Professional | EP · Child screening program | $14.13 | $14.13 | $21.88 |
AmeriHealth Setting Professional Modifier HL · Intern Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | HL · Intern | $63.10 | $63.10 | $70.79 |
AmeriHealth Setting Professional Modifier IT Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | IT | $30.20 | $30.20 | $30.20 |
AmeriHealth Setting Professional Modifier RD · Drug supplied, not given Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | RD · Drug supplied, not given | $48.98 | $48.98 | $66.07 |
AmeriHealth Setting Professional Modifier RE · Under FDA safety program Typical Low $14.13 Median $14.13 Typical High $23.99 | Professional | RE · Under FDA safety program | $14.13 | $14.13 | $23.99 |
AmeriHealth Setting Professional Modifier RP · Ambulance R to P Typical Low $6.03 Median $6.03 Typical High $15.85 | Professional | RP · Ambulance R to P | $6.03 | $6.03 | $15.85 |
AmeriHealth Setting Professional Modifier SO Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | SO | $75.86 | $75.86 | $186.21 |
AmeriHealth Setting Professional Modifier SP · Ambulance S to P Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | SP · Ambulance S to P | $169.82 | $169.82 | $204.17 |
Independence Blue Cross Setting Professional Modifier BL · Special blood acquisition Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | BL · Special blood acquisition | $10.00 | $10.00 | $10.00 |
Independence Blue Cross Setting Professional Modifier EP · Child screening program Typical Low $14.13 Median $14.13 Typical High $21.88 | Professional | EP · Child screening program | $14.13 | $14.13 | $21.88 |
Independence Blue Cross Setting Professional Modifier HL · Intern Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | HL · Intern | $63.10 | $63.10 | $70.79 |
Independence Blue Cross Setting Professional Modifier IT Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | IT | $30.20 | $30.20 | $30.20 |
Independence Blue Cross Setting Professional Modifier RD · Drug supplied, not given Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | RD · Drug supplied, not given | $48.98 | $48.98 | $66.07 |
Independence Blue Cross Setting Professional Modifier RE · Under FDA safety program Typical Low $14.13 Median $14.13 Typical High $23.99 | Professional | RE · Under FDA safety program | $14.13 | $14.13 | $23.99 |
Independence Blue Cross Setting Professional Modifier RP · Ambulance R to P Typical Low $6.03 Median $6.03 Typical High $15.85 | Professional | RP · Ambulance R to P | $6.03 | $6.03 | $15.85 |
Independence Blue Cross Setting Professional Modifier SO Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | SO | $75.86 | $75.86 | $186.21 |
Independence Blue Cross Setting Professional Modifier SP · Ambulance S to P Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | SP · Ambulance S to P | $169.82 | $169.82 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.80 Median $19.95 Typical High $19.95 | Professional | 51 · Multiple procedures | $13.80 | $19.95 | $19.95 |
Oscar Health Setting Professional Modifier BL · Special blood acquisition Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | BL · Special blood acquisition | $19.95 | $19.95 | $19.95 |
Oscar Health Setting Professional Modifier EP · Child screening program Typical Low $14.13 Median $14.13 Typical High $21.88 | Professional | EP · Child screening program | $14.13 | $14.13 | $21.88 |
Oscar Health Setting Professional Modifier HL · Intern Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | HL · Intern | $63.10 | $63.10 | $70.79 |
Oscar Health Setting Professional Modifier IT Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | IT | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier RD · Drug supplied, not given Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | RD · Drug supplied, not given | $48.98 | $48.98 | $66.07 |
Oscar Health Setting Professional Modifier RE · Under FDA safety program Typical Low $14.13 Median $14.13 Typical High $23.99 | Professional | RE · Under FDA safety program | $14.13 | $14.13 | $23.99 |
Oscar Health Setting Professional Modifier RP · Ambulance R to P Typical Low $6.03 Median $6.03 Typical High $15.85 | Professional | RP · Ambulance R to P | $6.03 | $6.03 | $15.85 |
Oscar Health Setting Professional Modifier SO Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | SO | $75.86 | $75.86 | $186.21 |
Oscar Health Setting Professional Modifier SP · Ambulance S to P Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | SP · Ambulance S to P | $169.82 | $169.82 | $204.17 |
What it costs in each state
The same service costs 501187.2 times more in Alaska 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.
AK $10,000LA $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.