How much rates vary
Facilitymedian $85 · 10th to 90th $48 to $257Professionalmedian $26 · 10th to 90th $5 to $42
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 $31.62 Median $61.66 Typical High $245.47 | Facility | None | $31.62 | $61.66 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $63.10 | Professional | None | $28.84 | $31.62 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $33.11 | Professional | None | $19.95 | $25.12 | $33.11 |
BCBS Texas Setting Facility Modifier None Typical Low $66.07 Median $177.83 Typical High $316.23 | Facility | None | $66.07 | $177.83 | $316.23 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $26.30 Typical High $27.54 | Professional | None | $5.01 | $26.30 | $27.54 |
Christus Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $100.00 Typical High $165.96 | Facility | None | $46.77 | $100.00 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $81.28 | Professional | None | $26.30 | $30.20 | $81.28 |
Health Smart Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Lucent Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $48.98 Typical High $213.80 | Facility | None | $34.67 | $48.98 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $57.54 | Professional | None | $28.84 | $37.15 | $57.54 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None | $33.11 | $35.48 | $35.48 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $165.96 | Facility | None | $35.48 | $61.66 | $165.96 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $69.18 | Professional | None | $26.30 | $30.20 | $69.18 |
United Setting Facility Modifier None Typical Low $17.38 Median $19.95 Typical High $47.86 | Facility | None | $17.38 | $19.95 | $47.86 |
United Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $38.02 | Professional | None | $19.95 | $23.99 | $38.02 |
Wellpoint Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | None | $23.44 | $23.44 | $24.55 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $34.67 Typical High $128.82 | Facility | 52 · Reduced service | $15.85 | $34.67 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $13.80 Typical High $51.29 | Facility | 53 · Discontinued | $6.46 | $13.80 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.85 Typical High $28.84 | Professional | 52 · Reduced service | $14.45 | $15.85 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $11.48 | Professional | 53 · Discontinued | $5.75 | $6.31 | $11.48 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $18.20 Median $34.67 Typical High $128.82 | Facility | 52 · Reduced service | $18.20 | $34.67 | $128.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $13.80 Typical High $51.29 | Facility | 53 · Discontinued | $7.24 | $13.80 | $51.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.79 Typical High $23.44 | Professional | 52 · Reduced service | $14.45 | $14.79 | $23.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $9.33 | Professional | 53 · Discontinued | $5.75 | $5.89 | $9.33 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Alabama. 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.
Texas· 24th of 51
$47.86
AK $107AL $19.95
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.