How much rates vary
Facilitymedian $148 · 10th to 90th $63 to $372Professionalmedian $79 · 10th to 90th $5 to $479
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 $42.66 Median $91.20 Typical High $346.74 | Facility | None | $42.66 | $91.20 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $39.81 Typical High $67.61 | Professional | None | $7.94 | $39.81 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $239.88 Typical High $489.78 | Facility | None | $97.72 | $239.88 | $489.78 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $35.48 Typical High $87.10 | Professional | None | $5.01 | $35.48 | $87.10 |
Christus Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $199.53 | Facility | None | $43.65 | $138.04 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $109.65 | Professional | None | $32.36 | $47.86 | $109.65 |
Health Smart Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Lucent Health Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $478.63 | Professional | None | $316.23 | $478.63 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $75.86 Typical High $346.74 | Facility | None | $42.66 | $75.86 | $346.74 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $40.74 Typical High $66.07 | Professional | None | $7.94 | $40.74 | $66.07 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $61.66 | Professional | None | $30.20 | $53.70 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $134.90 | Professional | None | $64.57 | $69.18 | $134.90 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $147.91 Typical High $269.15 | Facility | None | $48.98 | $147.91 | $269.15 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $66.07 Typical High $109.65 | Professional | None | $32.36 | $66.07 | $109.65 |
United Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $64.57 | Facility | None | $22.91 | $26.92 | $64.57 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $44.67 | Professional | None | $26.92 | $26.92 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $87.10 | Professional | None | $33.11 | $64.57 | $87.10 |
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 $20.89 Median $45.71 Typical High $173.78 | Facility | 52 · Reduced service | $20.89 | $45.71 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $18.62 Typical High $69.18 | Facility | 53 · Discontinued | $8.51 | $18.62 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.95 Typical High $30.20 | Professional | 52 · Reduced service | $19.05 | $19.95 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $12.02 | Professional | 53 · Discontinued | $7.76 | $8.13 | $12.02 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.99 Median $45.71 Typical High $173.78 | Facility | 52 · Reduced service | $23.99 | $45.71 | $173.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $18.62 Typical High $69.18 | Facility | 53 · Discontinued | $9.77 | $18.62 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.95 Typical High $25.70 | Professional | 52 · Reduced service | $19.05 | $19.95 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $10.23 | Professional | 53 · Discontinued | $7.76 | $7.94 | $10.23 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 4th of 51
$87.10
AK $145DE $42.66
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.