How much rates vary
Facilitymedian $51 · 10th to 90th $28 to $151Professionalmedian $15 · 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 $18.20 Median $39.81 Typical High $138.04 | Facility | None | $18.20 | $39.81 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $33.11 | Professional | None | $16.60 | $18.20 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $95.50 Typical High $181.97 | Facility | None | $32.36 | $95.50 | $181.97 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $15.14 Typical High $21.88 | Professional | None | $5.01 | $15.14 | $21.88 |
Christus Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $57.54 Typical High $85.11 | Facility | None | $22.39 | $57.54 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $41.69 | Professional | None | $12.88 | $14.45 | $41.69 |
Health Smart Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Health Smart Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None | $30.20 | $30.20 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Moda Health Setting Facility Modifier None Typical Low $20.89 Median $67.61 Typical High $173.78 | Facility | None | $20.89 | $67.61 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $27.54 | Professional | None | $16.60 | $18.20 | $27.54 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | None | $20.42 | $22.91 | $22.91 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $85.11 | Facility | None | $19.50 | $33.11 | $85.11 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $33.88 | Professional | None | $12.59 | $14.45 | $33.88 |
United Setting Facility Modifier None Typical Low $9.77 Median $11.48 Typical High $27.54 | Facility | None | $9.77 | $11.48 | $27.54 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $19.05 | Professional | None | $11.48 | $11.75 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | None | $10.96 | $10.96 | $14.13 |
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 $9.12 Median $19.50 Typical High $74.13 | Facility | 52 · Reduced service | $9.12 | $19.50 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $7.94 Typical High $29.51 | Facility | 53 · Discontinued | $3.63 | $7.94 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $9.12 Typical High $16.60 | Professional | 52 · Reduced service | $8.13 | $9.12 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.63 Typical High $6.61 | Professional | 53 · Discontinued | $3.31 | $3.63 | $6.61 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $19.50 Typical High $74.13 | Facility | 52 · Reduced service | $10.47 | $19.50 | $74.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $7.94 Typical High $29.51 | Facility | 53 · Discontinued | $4.17 | $7.94 | $29.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $13.18 | Professional | 52 · Reduced service | $8.13 | $8.51 | $13.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.39 Typical High $5.37 | Professional | 53 · Discontinued | $3.31 | $3.39 | $5.37 |
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· 6th of 51
$37.15
AK $61.66AL $17.78
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.