How much rates vary
Facilitymedian $138 · 10th to 90th $58 to $355Professionalmedian $71 · 10th to 90th $5 to $427
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 $38.02 Median $81.28 Typical High $309.03 | Facility | None | $38.02 | $81.28 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $35.48 Typical High $60.26 | Professional | None | $7.94 | $35.48 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
BCBS Texas Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $457.09 | Facility | None | $87.10 | $213.80 | $457.09 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $31.62 Typical High $77.62 | Professional | None | $5.01 | $31.62 | $77.62 |
Christus Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $218.78 | Facility | None | $69.18 | $123.03 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $97.72 | Professional | None | $28.84 | $42.66 | $97.72 |
Health Smart Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Lucent Health Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $426.58 | Professional | None | $288.40 | $426.58 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $67.61 Typical High $281.84 | Facility | None | $38.02 | $67.61 | $281.84 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $35.48 Typical High $70.79 | Professional | None | $7.94 | $35.48 | $70.79 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $120.23 | Professional | None | $57.54 | $61.66 | $120.23 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $138.04 Typical High $302.00 | Facility | None | $46.77 | $138.04 | $302.00 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $58.88 Typical High $100.00 | Professional | None | $28.84 | $58.88 | $100.00 |
United Setting Facility Modifier None Typical Low $20.42 Median $23.99 Typical High $57.54 | Facility | None | $20.42 | $23.99 | $57.54 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | None | $23.99 | $23.99 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $29.51 Median $57.54 Typical High $77.62 | Professional | None | $29.51 | $57.54 | $77.62 |
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 $19.05 Median $40.74 Typical High $154.88 | Facility | 52 · Reduced service | $19.05 | $40.74 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $16.60 Typical High $61.66 | Facility | 53 · Discontinued | $7.59 | $16.60 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $17.78 Typical High $26.92 | Professional | 52 · Reduced service | $16.98 | $17.78 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $10.72 | Professional | 53 · Discontinued | $6.92 | $7.24 | $10.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $21.38 Median $40.74 Typical High $154.88 | Facility | 52 · Reduced service | $21.38 | $40.74 | $154.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $16.60 Typical High $61.66 | Facility | 53 · Discontinued | $8.71 | $16.60 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $17.78 Typical High $22.91 | Professional | 52 · Reduced service | $16.98 | $17.78 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $6.92 | $7.08 | $9.12 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 7th of 51
$77.62
AK $129NE $38.02
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.