How much rates vary
Facilitymedian $63 · 10th to 90th $26 to $148Professionalmedian $14 · 10th to 90th $5 to $26
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 $16.98 Median $37.15 Typical High $128.82 | Facility | None | $16.98 | $37.15 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $30.90 | Professional | None | $14.45 | $16.98 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | None | $15.49 | $15.49 | $17.78 |
BCBS Texas Setting Facility Modifier None Typical Low $30.90 Median $89.13 Typical High $169.82 | Facility | None | $30.90 | $89.13 | $169.82 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $14.13 Typical High $25.70 | Professional | None | $5.01 | $14.13 | $25.70 |
Baylor Scott & White Setting Facility Modifier None Typical Low $23.99 Median $38.02 Typical High $154.88 | Facility | None | $23.99 | $38.02 | $154.88 |
Baylor Scott & White Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $37.15 | Professional | None | $19.05 | $22.91 | $37.15 |
Christus Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $54.95 Typical High $104.71 | Facility | None | $25.70 | $54.95 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $42.66 | Professional | None | $14.45 | $18.20 | $42.66 |
Health Smart Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Health Smart Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $128.82 | Facility | None | $19.05 | $30.90 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $24.55 | Professional | None | $15.49 | $19.05 | $24.55 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | None | $19.05 | $21.38 | $21.38 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $38.02 Typical High $104.71 | Facility | None | $20.42 | $38.02 | $104.71 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $38.02 | Professional | None | $14.45 | $18.20 | $38.02 |
United Setting Facility Modifier None Typical Low $9.12 Median $25.70 Typical High $89.13 | Facility | None | $9.12 | $25.70 | $89.13 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $20.89 | Professional | None | $10.72 | $14.45 | $20.89 |
Wellpoint Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | None | $12.59 | $12.59 | $13.18 |
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 $8.51 Median $18.20 Typical High $69.18 | Facility | 52 · Reduced service | $8.51 | $18.20 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $7.41 Typical High $27.54 | Facility | 53 · Discontinued | $3.39 | $7.41 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $8.51 Typical High $15.49 | Professional | 52 · Reduced service | $7.59 | $8.51 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $6.17 | Professional | 53 · Discontinued | $3.09 | $3.39 | $6.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $18.20 Typical High $69.18 | Facility | 52 · Reduced service | $9.55 | $18.20 | $69.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $7.41 Typical High $27.54 | Facility | 53 · Discontinued | $3.89 | $7.41 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.94 Typical High $12.30 | Professional | 52 · Reduced service | $7.59 | $7.94 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.16 Typical High $4.90 | Professional | 53 · Discontinued | $3.09 | $3.16 | $4.90 |
Where Texas sits
The same service costs 3.2 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· 28th of 51
$25.70
AK $57.54AL $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.