How much rates vary
Facilitymedian $191 · 10th to 90th $89 to $490Professionalmedian $83 · 10th to 90th $5 to $661
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 $57.54 Median $125.89 Typical High $478.63 | Facility | None | $57.54 | $125.89 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $54.95 Typical High $74.13 | Professional | None | $7.94 | $54.95 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $309.03 Typical High $575.44 | Facility | None | $97.72 | $309.03 | $575.44 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $48.98 Typical High $89.13 | Professional | None | $5.01 | $48.98 | $89.13 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $165.96 Typical High $275.42 | Facility | None | $47.86 | $165.96 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $151.36 | Professional | None | $44.67 | $70.79 | $151.36 |
Lucent Health Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $660.69 | Professional | None | $436.52 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $426.58 | Facility | None | $46.77 | $95.50 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $54.95 Typical High $83.18 | Professional | None | $7.94 | $54.95 | $83.18 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $186.21 | Professional | None | $89.13 | $95.50 | $186.21 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $173.78 Typical High $346.74 | Facility | None | $57.54 | $173.78 | $346.74 |
Providence Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $151.36 | Professional | None | $44.67 | $89.13 | $151.36 |
United Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $89.13 | Facility | None | $31.62 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | None | $37.15 | $37.15 | $61.66 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $89.13 Typical High $120.23 | Professional | None | $45.71 | $89.13 | $120.23 |
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 $28.84 Median $63.10 Typical High $239.88 | Facility | 52 · Reduced service | $28.84 | $63.10 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $25.12 Typical High $95.50 | Facility | 53 · Discontinued | $11.75 | $25.12 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $27.54 Typical High $41.69 | Professional | 52 · Reduced service | $26.30 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.96 Typical High $16.60 | Professional | 53 · Discontinued | $10.47 | $10.96 | $16.60 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $63.10 Typical High $239.88 | Facility | 52 · Reduced service | $33.11 | $63.10 | $239.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $25.12 Typical High $95.50 | Facility | 53 · Discontinued | $13.49 | $25.12 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $27.54 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $27.54 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.96 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $10.96 | $14.13 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$132
AK $200FL $52.48
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.