How much rates vary
Facilitymedian $158 · 10th to 90th $65 to $363Professionalmedian $56 · 10th to 90th $5 to $490
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 $43.65 Median $85.11 Typical High $331.13 | Facility | None | $43.65 | $85.11 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $40.74 Typical High $61.66 | Professional | None | $7.94 | $40.74 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $436.52 | Facility | None | $97.72 | $234.42 | $436.52 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $36.31 Typical High $89.13 | Professional | None | $5.01 | $36.31 | $89.13 |
Baylor Scott & White Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $338.84 | Facility | None | $63.10 | $95.50 | $338.84 |
Baylor Scott & White Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $91.20 | Professional | None | $45.71 | $64.57 | $91.20 |
Christus 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 Facility Modifier None Typical Low $45.71 Median $141.25 Typical High $204.17 | Facility | None | $45.71 | $141.25 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $112.20 | Professional | None | $33.88 | $44.67 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $489.78 | Professional | None | $331.13 | $489.78 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $251.19 Typical High $2,570.40 | Facility | None | $50.12 | $251.19 | $2,570.40 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $66.07 | Professional | None | $33.11 | $43.65 | $66.07 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | None | $54.95 | $54.95 | $63.10 |
Oscar Health Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $141.25 | Professional | None | $66.07 | $70.79 | $141.25 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $151.36 Typical High $281.84 | Facility | None | $52.48 | $151.36 | $281.84 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $63.10 Typical High $112.20 | Professional | None | $33.88 | $63.10 | $112.20 |
United Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $66.07 | Facility | None | $23.44 | $27.54 | $66.07 |
United Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $45.71 | Professional | None | $27.54 | $28.18 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $66.07 Typical High $89.13 | Professional | None | $33.88 | $66.07 | $89.13 |
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 $21.88 Median $46.77 Typical High $177.83 | Facility | 52 · Reduced service | $21.88 | $46.77 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $19.05 Typical High $70.79 | Facility | 53 · Discontinued | $8.71 | $19.05 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $20.89 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $20.89 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.32 Typical High $12.30 | Professional | 53 · Discontinued | $7.94 | $8.32 | $12.30 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $46.77 Typical High $177.83 | Facility | 52 · Reduced service | $24.55 | $46.77 | $177.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $19.05 Typical High $70.79 | Facility | 53 · Discontinued | $10.00 | $19.05 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $20.42 Typical High $26.30 | Professional | 52 · Reduced service | $19.50 | $20.42 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $10.47 | Professional | 53 · Discontinued | $7.94 | $8.13 | $10.47 |
Where Texas sits
The same service costs 3.4 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· 10th of 51
$81.28
AK $148KY $43.65
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.