How much rates vary
Facilitymedian $135 · 10th to 90th $74 to $389Professionalmedian $41 · 10th to 90th $5 to $63
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 $48.98 Median $97.72 Typical High $380.19 | Facility | None | $48.98 | $97.72 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $89.13 | Professional | None | $44.67 | $46.77 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $52.48 | Professional | None | $36.31 | $37.15 | $52.48 |
BCBS Texas Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $436.52 | Facility | None | $102.33 | $257.04 | $436.52 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $40.74 Typical High $42.66 | Professional | None | $5.01 | $40.74 | $42.66 |
Christus Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $234.42 | Facility | None | $70.79 | $162.18 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $134.90 | Professional | None | $42.66 | $58.88 | $134.90 |
Health Smart Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $112.20 | Professional | None | $63.10 | $70.79 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $123.03 | Professional | None | $67.61 | $70.79 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $74.13 Typical High $338.84 | Facility | None | $53.70 | $74.13 | $338.84 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $74.13 | Professional | None | $44.67 | $50.12 | $74.13 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $275.42 | Facility | None | $56.23 | $89.13 | $275.42 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $131.83 | Professional | None | $42.66 | $57.54 | $131.83 |
United Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $74.13 | Facility | None | $26.92 | $31.62 | $74.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $42.66 Typical High $60.26 | Professional | None | $31.62 | $42.66 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | None | $37.15 | $37.15 | $38.90 |
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 $25.12 Median $53.70 Typical High $204.17 | Facility | 52 · Reduced service | $25.12 | $53.70 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $21.38 Typical High $81.28 | Facility | 53 · Discontinued | $10.00 | $21.38 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $24.55 Typical High $44.67 | Professional | 52 · Reduced service | $22.39 | $24.55 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $17.78 | Professional | 53 · Discontinued | $8.91 | $9.77 | $17.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $28.18 Median $53.70 Typical High $204.17 | Facility | 52 · Reduced service | $28.18 | $53.70 | $204.17 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $21.38 Typical High $81.28 | Facility | 53 · Discontinued | $11.22 | $21.38 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $23.44 Typical High $36.31 | Professional | 52 · Reduced service | $22.39 | $23.44 | $36.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $14.45 | Professional | 53 · Discontinued | $8.91 | $9.33 | $14.45 |
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
$74.13
AK $170AL $31.62
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.