How much rates vary
Facilitymedian $141 · 10th to 90th $54 to $282Professionalmedian $63 · 10th to 90th $5 to $389
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 $34.67 Median $74.13 Typical High $275.42 | Facility | None | $34.67 | $74.13 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $31.62 Typical High $51.29 | Professional | None | $7.94 | $31.62 | $51.29 |
BCBS Texas Setting Facility Modifier None Typical Low $72.44 Median $181.97 Typical High $309.03 | Facility | None | $72.44 | $181.97 | $309.03 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $28.18 Typical High $69.18 | Professional | None | $5.01 | $28.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $112.20 Typical High $169.82 | Facility | None | $52.48 | $112.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $48.98 Typical High $95.50 | Professional | None | $26.30 | $48.98 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None | $257.04 | $389.05 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $61.66 Typical High $257.04 | Facility | None | $33.88 | $61.66 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $32.36 Typical High $51.29 | Professional | None | $7.94 | $32.36 | $51.29 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $109.65 | Professional | None | $51.29 | $56.23 | $109.65 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $125.89 Typical High $229.09 | Facility | None | $41.69 | $125.89 | $229.09 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $60.26 Typical High $95.50 | Professional | None | $26.30 | $60.26 | $95.50 |
United Setting Facility Modifier None Typical Low $18.62 Median $21.38 Typical High $51.29 | Facility | None | $18.62 | $21.38 | $51.29 |
United Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $36.31 | Professional | None | $21.38 | $21.38 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $51.29 Typical High $69.18 | Professional | None | $26.92 | $51.29 | $69.18 |
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 $17.38 Median $37.15 Typical High $138.04 | Facility | 52 · Reduced service | $17.38 | $37.15 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $14.79 Typical High $56.23 | Facility | 53 · Discontinued | $6.92 | $14.79 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.22 Typical High $23.99 | Professional | 52 · Reduced service | $15.49 | $16.22 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $9.77 | Professional | 53 · Discontinued | $6.17 | $6.46 | $9.77 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $19.50 Median $37.15 Typical High $138.04 | Facility | 52 · Reduced service | $19.50 | $37.15 | $138.04 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $14.79 Typical High $56.23 | Facility | 53 · Discontinued | $7.76 | $14.79 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.85 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $15.85 | $20.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $6.31 | $8.32 |
Where Texas sits
The same service costs 6.0 times more in California than in Oklahoma. 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
$97.72
CA $186OK $30.90
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.