How much rates vary
Facilitymedian $74 · 10th to 90th $29 to $166Professionalmedian $16 · 10th to 90th $5 to $28
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 $19.50 Median $41.69 Typical High $158.49 | Facility | None | $19.50 | $41.69 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $39.81 | Professional | None | $17.38 | $19.05 | $39.81 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $107.15 Typical High $194.98 | Facility | None | $39.81 | $107.15 | $194.98 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $15.85 Typical High $19.50 | Professional | None | $5.01 | $15.85 | $19.50 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $60.26 Typical High $104.71 | Facility | None | $25.12 | $60.26 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $44.67 | Professional | None | $14.79 | $18.20 | $44.67 |
Health Smart Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Health Smart Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $30.20 Typical High $63.10 | Facility | None | $21.88 | $30.20 | $63.10 |
Moda Health Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $38.02 | Professional | None | $17.38 | $19.05 | $38.02 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | None | $21.88 | $24.55 | $24.55 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $37.15 Typical High $104.71 | Facility | None | $21.88 | $37.15 | $104.71 |
Providence Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $38.02 | Professional | None | $14.79 | $18.20 | $38.02 |
United Setting Facility Modifier None Typical Low $10.47 Median $12.30 Typical High $28.84 | Facility | None | $10.47 | $12.30 | $28.84 |
United Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $21.38 | Professional | None | $12.30 | $14.45 | $21.38 |
Wellpoint Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | None | $12.30 | $12.30 | $15.14 |
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 $9.77 Median $20.89 Typical High $79.43 | Facility | 52 · Reduced service | $9.77 | $20.89 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $8.32 Typical High $31.62 | Facility | 53 · Discontinued | $3.89 | $8.32 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $9.55 Typical High $17.38 | Professional | 52 · Reduced service | $8.71 | $9.55 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.80 Typical High $6.92 | Professional | 53 · Discontinued | $3.47 | $3.80 | $6.92 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $20.89 Typical High $79.43 | Facility | 52 · Reduced service | $10.96 | $20.89 | $79.43 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $8.32 Typical High $31.62 | Facility | 53 · Discontinued | $4.37 | $8.32 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $9.12 Typical High $14.13 | Professional | 52 · Reduced service | $8.71 | $9.12 | $14.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.63 Typical High $5.62 | Professional | 53 · Discontinued | $3.47 | $3.63 | $5.62 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 24th of 51
$28.84
AK $66.07AL $18.62
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.