How much rates vary
Facilitymedian $76 · 10th to 90th $39 to $219Professionalmedian $21 · 10th to 90th $5 to $39
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 $23.99 Median $45.71 Typical High $194.98 | Facility | None | $23.99 | $45.71 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $52.48 | Professional | None | $22.91 | $25.70 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $26.92 | Professional | None | $18.62 | $23.44 | $26.92 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $134.90 Typical High $251.19 | Facility | None | $46.77 | $134.90 | $251.19 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $21.38 Typical High $30.90 | Professional | None | $5.01 | $21.38 | $30.90 |
Baylor Scott & White Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $53.70 | Professional | None | $28.84 | $34.67 | $53.70 |
Christus Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $83.18 Typical High $158.49 | Facility | None | $38.90 | $83.18 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $64.57 | Professional | None | $21.88 | $27.54 | $64.57 |
Health Smart Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Health Smart Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $58.88 | Professional | None | $34.67 | $36.31 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $64.57 | Professional | None | $34.67 | $36.31 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $120.23 Typical High $263.03 | Facility | None | $30.20 | $120.23 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $40.74 | Professional | None | $22.91 | $33.11 | $40.74 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | None | $28.84 | $32.36 | $32.36 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $56.23 Typical High $158.49 | Facility | None | $30.90 | $56.23 | $158.49 |
Providence Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $57.54 | Professional | None | $21.88 | $27.54 | $57.54 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.22 Typical High $38.90 | Facility | None | $13.80 | $16.22 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $50.12 | Professional | None | $16.22 | $21.88 | $50.12 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | None | $19.05 | $19.05 | $19.95 |
9 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 $12.88 Median $27.54 Typical High $104.71 | Facility | 52 · Reduced service | $12.88 | $27.54 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $10.96 Typical High $41.69 | Facility | 53 · Discontinued | $5.13 | $10.96 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.59 Typical High $22.91 | Professional | 52 · Reduced service | $11.48 | $12.59 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.13 Typical High $9.33 | Professional | 53 · Discontinued | $4.57 | $5.13 | $9.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $27.54 Typical High $104.71 | Facility | 52 · Reduced service | $14.45 | $27.54 | $104.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $10.96 Typical High $41.69 | Facility | 53 · Discontinued | $5.75 | $10.96 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.02 Typical High $18.62 | Professional | 52 · Reduced service | $11.48 | $12.02 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.79 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $4.79 | $7.41 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $33.88 Median $36.31 Typical High $42.66 | Professional | 90 · Outside lab | $33.88 | $36.31 | $42.66 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 25th of 51
$38.90
AK $105MD $28.84
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.