How much rates vary
Facilitymedian $141 · 10th to 90th $47 to $331Professionalmedian $34 · 10th to 90th $5 to $52
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 $40.74 Median $89.13 Typical High $331.13 | Facility | None | $40.74 | $89.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $61.66 | Professional | None | $37.15 | $39.81 | $61.66 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $190.55 Typical High $354.81 | Facility | None | $79.43 | $190.55 | $354.81 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $33.88 Typical High $48.98 | Professional | None | $5.01 | $33.88 | $48.98 |
Christus Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $125.89 Typical High $190.55 | Facility | None | $40.74 | $125.89 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $89.13 | Professional | None | $21.88 | $31.62 | $89.13 |
Health Smart Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Health Smart Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | None | $51.29 | $51.29 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $141.25 | Facility | None | $34.67 | $61.66 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $58.88 | Professional | None | $37.15 | $40.74 | $58.88 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | None | $45.71 | $51.29 | $51.29 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $67.61 Typical High $190.55 | Facility | None | $37.15 | $67.61 | $190.55 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $72.44 | Professional | None | $21.38 | $31.62 | $72.44 |
United Setting Facility Modifier None Typical Low $22.39 Median $25.70 Typical High $61.66 | Facility | None | $22.39 | $25.70 | $61.66 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $37.15 | Professional | None | $19.50 | $25.70 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | None | $24.55 | $24.55 | $31.62 |
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 $20.42 Median $44.67 Typical High $165.96 | Facility | 52 · Reduced service | $20.42 | $44.67 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $17.78 Typical High $66.07 | Facility | 53 · Discontinued | $8.13 | $17.78 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.95 Typical High $32.36 | Professional | 52 · Reduced service | $18.62 | $19.95 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $12.88 | Professional | 53 · Discontinued | $7.41 | $8.13 | $12.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $44.67 Typical High $165.96 | Facility | 52 · Reduced service | $23.44 | $44.67 | $165.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $17.78 Typical High $66.07 | Facility | 53 · Discontinued | $9.33 | $17.78 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.05 Typical High $28.84 | Professional | 52 · Reduced service | $18.62 | $19.05 | $28.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $11.48 | Professional | 53 · Discontinued | $7.41 | $7.59 | $11.48 |
Where Texas sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 22nd of 51
$53.70
AK $138SC $21.38
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.