How much rates vary
Facilitymedian $95 · 10th to 90th $35 to $195Professionalmedian $43 · 10th to 90th $5 to $263
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 $22.91 Median $50.12 Typical High $190.55 | Facility | None | $22.91 | $50.12 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $21.88 Typical High $34.67 | Professional | None | $7.94 | $21.88 | $34.67 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $112.20 Typical High $204.17 | Facility | None | $43.65 | $112.20 | $204.17 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $19.95 Typical High $47.86 | Professional | None | $5.01 | $19.95 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $77.62 Typical High $151.36 | Facility | None | $43.65 | $77.62 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $26.30 Typical High $58.88 | Professional | None | $17.78 | $26.30 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $263.03 | Professional | None | $173.78 | $263.03 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $22.91 Median $41.69 Typical High $173.78 | Facility | None | $22.91 | $41.69 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $21.88 Typical High $33.11 | Professional | None | $7.94 | $21.88 | $33.11 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None | $29.51 | $29.51 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $74.13 | Professional | None | $34.67 | $38.02 | $74.13 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $85.11 Typical High $186.21 | Facility | None | $28.18 | $85.11 | $186.21 |
Providence Setting Professional Modifier None Typical Low $17.78 Median $36.31 Typical High $58.88 | Professional | None | $17.78 | $36.31 | $58.88 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $34.67 | Facility | None | $12.59 | $14.79 | $34.67 |
United Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $24.55 | Professional | None | $14.79 | $14.79 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $46.77 | Professional | None | $18.20 | $34.67 | $46.77 |
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 $11.48 Median $25.12 Typical High $95.50 | Facility | 52 · Reduced service | $11.48 | $25.12 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $10.00 Typical High $38.02 | Facility | 53 · Discontinued | $4.57 | $10.00 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.96 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $10.96 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.17 | $4.37 | $6.61 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $25.12 Typical High $95.50 | Facility | 52 · Reduced service | $13.18 | $25.12 | $95.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $10.00 Typical High $38.02 | Facility | 53 · Discontinued | $5.25 | $10.00 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.96 Typical High $14.13 | Professional | 52 · Reduced service | $10.47 | $10.96 | $14.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.17 | $4.37 | $5.62 |
Where Texas sits
The same service costs 3.8 times more in Alaska 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· 3rd of 51
$66.07
AK $79.43NM $20.89
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.