How much rates vary
Facilitymedian $288 · 10th to 90th $105 to $661Professionalmedian $123 · 10th to 90th $5 to $759
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 $66.07 Median $144.54 Typical High $549.54 | Facility | None | $66.07 | $144.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $63.10 Typical High $87.10 | Professional | None | $7.94 | $63.10 | $87.10 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $363.08 Typical High $676.08 | Facility | None | $138.04 | $363.08 | $676.08 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $56.23 Typical High $138.04 | Professional | None | $5.01 | $56.23 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $331.13 | Facility | None | $102.33 | $218.78 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $97.72 Typical High $173.78 | Professional | None | $51.29 | $97.72 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $758.58 | Professional | None | $501.19 | $758.58 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $120.23 Typical High $501.19 | Facility | None | $66.07 | $120.23 | $501.19 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $63.10 Typical High $95.50 | Professional | None | $7.94 | $63.10 | $95.50 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None | $85.11 | $85.11 | $102.33 |
Oscar Health Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $213.80 | Professional | None | $100.00 | $109.65 | $213.80 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $245.47 Typical High $446.68 | Facility | None | $81.28 | $245.47 | $446.68 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $107.15 Typical High $173.78 | Professional | None | $51.29 | $107.15 | $173.78 |
United Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $100.00 | Facility | None | $36.31 | $42.66 | $100.00 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | None | $42.66 | $42.66 | $70.79 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $138.04 | Professional | None | $52.48 | $100.00 | $138.04 |
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 $33.88 Median $72.44 Typical High $275.42 | Facility | 52 · Reduced service | $33.88 | $72.44 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $28.84 Typical High $109.65 | Facility | 53 · Discontinued | $13.49 | $28.84 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $47.86 | Professional | 52 · Reduced service | $30.20 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $19.05 | Professional | 53 · Discontinued | $12.02 | $12.88 | $19.05 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $72.44 Typical High $275.42 | Facility | 52 · Reduced service | $38.02 | $72.44 | $275.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $28.84 Typical High $109.65 | Facility | 53 · Discontinued | $15.14 | $28.84 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $30.20 | $31.62 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $12.02 | $12.59 | $16.22 |
Where Texas sits
The same service costs 4.1 times more in Kentucky than in New Mexico. 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· 5th of 51
$195
KY $245NM $60.26
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.