How much rates vary
Facilitymedian $151 · 10th to 90th $62 to $372Professionalmedian $34 · 10th to 90th $5 to $66
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 $37.15 Median $72.44 Typical High $316.23 | Facility | None | $37.15 | $72.44 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $79.43 | Professional | None | $34.67 | $40.74 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $85.11 | Professional | None | $21.88 | $30.90 | $85.11 |
BCBS Texas Setting Facility Modifier None Typical Low $67.61 Median $190.55 Typical High $346.74 | Facility | None | $67.61 | $190.55 | $346.74 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $33.88 Typical High $46.77 | Professional | None | $5.01 | $33.88 | $46.77 |
Baylor Scott & White Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Christus Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $134.90 Typical High $194.98 | Facility | None | $58.88 | $134.90 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $89.13 | Professional | None | $33.11 | $38.02 | $89.13 |
Health Smart Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Health Smart Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $102.33 | Professional | None | $52.48 | $58.88 | $102.33 |
Lucent Health Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $102.33 | Professional | None | $52.48 | $58.88 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $213.80 Typical High $489.78 | Facility | None | $61.66 | $213.80 | $489.78 |
Moda Health Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $79.43 | Professional | None | $37.15 | $54.95 | $79.43 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $229.09 | Facility | None | $46.77 | $74.13 | $229.09 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $83.18 | Professional | None | $32.36 | $38.02 | $83.18 |
United Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $61.66 | Facility | None | $22.39 | $26.30 | $61.66 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $47.86 | Professional | None | $26.30 | $33.88 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | None | $28.84 | $28.84 | $37.15 |
9 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 $20.42 Median $44.67 Typical High $169.82 | Facility | 52 · Reduced service | $20.42 | $44.67 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $17.78 Typical High $67.61 | Facility | 53 · Discontinued | $8.13 | $17.78 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $20.42 Typical High $37.15 | Professional | 52 · Reduced service | $18.62 | $20.42 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $14.79 | Professional | 53 · Discontinued | $7.41 | $8.13 | $14.79 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $44.67 Typical High $169.82 | Facility | 52 · Reduced service | $23.44 | $44.67 | $169.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $17.78 Typical High $67.61 | Facility | 53 · Discontinued | $9.33 | $17.78 | $67.61 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $162.18 Median $213.80 Typical High $229.09 | Facility | 59 · Distinct service | $162.18 | $213.80 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.05 Typical High $30.20 | Professional | 52 · Reduced service | $18.62 | $19.05 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $12.02 | Professional | 53 · Discontinued | $7.41 | $7.76 | $12.02 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 28th of 51
$61.66
AK $158KY $35.48
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.