How much rates vary
Facilitymedian $158 · 10th to 90th $55 to $339Professionalmedian $69 · 10th to 90th $5 to $380
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 $33.88 Median $74.13 Typical High $275.42 | Facility | None | $33.88 | $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 $77.62 Median $190.55 Typical High $501.19 | Facility | None | $77.62 | $190.55 | $501.19 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $28.84 Typical High $69.18 | Professional | None | $5.01 | $28.84 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $109.65 Typical High $177.83 | Facility | None | $54.95 | $109.65 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $87.10 | Professional | None | $26.30 | $38.02 | $87.10 |
Lucent Health Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $380.19 | Professional | None | $263.03 | $380.19 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $60.26 Typical High $257.04 | Facility | None | $33.88 | $60.26 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $31.62 Typical High $51.29 | Professional | None | $7.94 | $31.62 | $51.29 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | None | $42.66 | $42.66 | $51.29 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $109.65 | Professional | None | $51.29 | $54.95 | $109.65 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $125.89 Typical High $239.88 | Facility | None | $41.69 | $125.89 | $239.88 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $52.48 Typical High $87.10 | Professional | None | $26.30 | $52.48 | $87.10 |
United Setting Facility Modifier None Typical Low $18.20 Median $21.38 Typical High $51.29 | Facility | None | $18.20 | $21.38 | $51.29 |
United Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $35.48 | Professional | None | $21.38 | $21.38 | $35.48 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $51.29 Typical High $69.18 | Professional | None | $26.30 | $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 $16.98 Median $37.15 Typical High $138.04 | Facility | 52 · Reduced service | $16.98 | $37.15 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $14.79 Typical High $54.95 | Facility | 53 · Discontinued | $6.92 | $14.79 | $54.95 |
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 $9.55 | Professional | 53 · Discontinued | $6.17 | $6.46 | $9.55 |
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 $54.95 | Facility | 53 · Discontinued | $7.76 | $14.79 | $54.95 |
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 $8.13 | Professional | 53 · Discontinued | $6.17 | $6.31 | $8.13 |
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· 2nd of 51
$110
AK $115NE $33.88
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.