How much rates vary
Facilitymedian $110 · 10th to 90th $39 to $219Professionalmedian $48 · 10th to 90th $5 to $295
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 $26.30 Median $56.23 Typical High $213.80 | Facility | None | $26.30 | $56.23 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $24.55 Typical High $38.90 | Professional | None | $7.94 | $24.55 | $38.90 |
BCBS Texas Setting Facility Modifier None Typical Low $54.95 Median $138.04 Typical High $234.42 | Facility | None | $54.95 | $138.04 | $234.42 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $21.38 Typical High $53.70 | Professional | None | $5.01 | $21.38 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $85.11 Typical High $123.03 | Facility | None | $30.90 | $85.11 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $38.02 Typical High $67.61 | Professional | None | $19.95 | $38.02 | $67.61 |
Health Smart Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Lucent Health Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $295.12 | Professional | None | $194.98 | $295.12 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $194.98 | Facility | None | $25.70 | $46.77 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $24.55 Typical High $38.90 | Professional | None | $7.94 | $24.55 | $38.90 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None | $33.11 | $33.11 | $39.81 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $83.18 | Professional | None | $38.90 | $42.66 | $83.18 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $95.50 Typical High $162.18 | Facility | None | $31.62 | $95.50 | $162.18 |
Providence Setting Professional Modifier None Typical Low $19.95 Median $45.71 Typical High $69.18 | Professional | None | $19.95 | $45.71 | $69.18 |
United Setting Facility Modifier None Typical Low $14.13 Median $16.60 Typical High $38.90 | Facility | None | $14.13 | $16.60 | $38.90 |
United Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $27.54 | Professional | None | $16.60 | $16.60 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $20.42 Median $38.90 Typical High $52.48 | Professional | None | $20.42 | $38.90 | $52.48 |
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 $13.18 Median $28.18 Typical High $107.15 | Facility | 52 · Reduced service | $13.18 | $28.18 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $11.22 Typical High $42.66 | Facility | 53 · Discontinued | $5.25 | $11.22 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $12.30 Typical High $18.62 | Professional | 52 · Reduced service | $11.75 | $12.30 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.90 Typical High $7.41 | Professional | 53 · Discontinued | $4.68 | $4.90 | $7.41 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $14.79 Median $28.18 Typical High $107.15 | Facility | 52 · Reduced service | $14.79 | $28.18 | $107.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $11.22 Typical High $42.66 | Facility | 53 · Discontinued | $5.89 | $11.22 | $42.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $12.30 Typical High $15.85 | Professional | 52 · Reduced service | $11.75 | $12.30 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.90 Typical High $6.31 | Professional | 53 · Discontinued | $4.68 | $4.90 | $6.31 |
Where Texas sits
The same service costs 6.6 times more in Kansas 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
$74.13
KS $155OK $23.44
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.