How much rates vary
Facilitymedian $112 · 10th to 90th $35 to $240Professionalmedian $25 · 10th to 90th $5 to $35
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 $29.51 Median $63.10 Typical High $239.88 | Facility | None | $29.51 | $63.10 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $44.67 | Professional | None | $24.55 | $28.18 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | None | $26.92 | $26.92 | $27.54 |
BCBS Texas Setting Facility Modifier None Typical Low $54.95 Median $151.36 Typical High $257.04 | Facility | None | $54.95 | $151.36 | $257.04 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $24.55 Typical High $30.90 | Professional | None | $5.01 | $24.55 | $30.90 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $91.20 Typical High $138.04 | Facility | None | $13.80 | $91.20 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $23.44 Typical High $67.61 | Professional | None | $8.32 | $23.44 | $67.61 |
Lucent Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $97.72 | Facility | None | $26.30 | $44.67 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $42.66 | Professional | None | $24.55 | $28.18 | $42.66 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | None | $30.90 | $30.90 | $33.11 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $48.98 Typical High $138.04 | Facility | None | $28.84 | $48.98 | $138.04 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $22.39 Typical High $72.44 | Professional | None | $8.32 | $22.39 | $72.44 |
United Setting Facility Modifier None Typical Low $15.85 Median $18.62 Typical High $44.67 | Facility | None | $15.85 | $18.62 | $44.67 |
United Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $26.30 | Professional | None | $7.41 | $18.62 | $26.30 |
Wellpoint Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | None | $17.78 | $17.78 | $22.91 |
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 $14.45 Median $31.62 Typical High $120.23 | Facility | 52 · Reduced service | $14.45 | $31.62 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $12.88 Typical High $47.86 | Facility | 53 · Discontinued | $5.89 | $12.88 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.80 Typical High $23.44 | Professional | 52 · Reduced service | $13.18 | $13.80 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $9.33 | Professional | 53 · Discontinued | $5.37 | $5.62 | $9.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $16.60 Median $31.62 Typical High $120.23 | Facility | 52 · Reduced service | $16.60 | $31.62 | $120.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $12.88 Typical High $47.86 | Facility | 53 · Discontinued | $6.76 | $12.88 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.80 Typical High $20.89 | Professional | 52 · Reduced service | $13.18 | $13.80 | $20.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $8.32 | Professional | 53 · Discontinued | $5.37 | $5.50 | $8.32 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 21st of 51
$36.31
AK $100GA $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.