How much rates vary
Facilitymedian $170 · 10th to 90th $65 to $380Professionalmedian $36 · 10th to 90th $5 to $60
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 $42.66 Median $93.33 Typical High $346.74 | Facility | None | $42.66 | $93.33 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $77.62 | Professional | None | $38.90 | $40.74 | $77.62 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $239.88 Typical High $457.09 | Facility | None | $97.72 | $239.88 | $457.09 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $35.48 Typical High $38.90 | Professional | None | $5.01 | $35.48 | $38.90 |
Christus Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $141.25 Typical High $269.15 | Facility | None | $64.57 | $141.25 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $107.15 | Professional | None | $36.31 | $46.77 | $107.15 |
Health Smart Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Health Smart Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | None | $97.72 | $97.72 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $131.83 | Facility | None | $47.86 | $64.57 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $77.62 | Professional | None | $38.90 | $40.74 | $77.62 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | None | $47.86 | $53.70 | $53.70 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $269.15 | Facility | None | $51.29 | $93.33 | $269.15 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $97.72 | Professional | None | $36.31 | $46.77 | $97.72 |
United Setting Facility Modifier None Typical Low $23.44 Median $26.92 Typical High $64.57 | Facility | None | $23.44 | $26.92 | $64.57 |
United Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $52.48 | Professional | None | $26.92 | $37.15 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | None | $31.62 | $31.62 | $33.11 |
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 $21.38 Median $46.77 Typical High $173.78 | Facility | 52 · Reduced service | $21.38 | $46.77 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $18.62 Typical High $69.18 | Facility | 53 · Discontinued | $8.71 | $18.62 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $21.38 Typical High $38.90 | Professional | 52 · Reduced service | $19.50 | $21.38 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.51 Typical High $15.49 | Professional | 53 · Discontinued | $7.76 | $8.51 | $15.49 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $46.77 Typical High $173.78 | Facility | 52 · Reduced service | $24.55 | $46.77 | $173.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $18.62 Typical High $69.18 | Facility | 53 · Discontinued | $9.77 | $18.62 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.95 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $19.95 | $30.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $12.59 | Professional | 53 · Discontinued | $7.76 | $7.94 | $12.59 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in Oklahoma. 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
$67.61
AK $145OK $47.86
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.