How much rates vary
Facilitymedian $48 · 10th to 90th $26 to $145Professionalmedian $14 · 10th to 90th $5 to $25
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 $34.67 Typical High $128.82 | Facility | None | $16.98 | $34.67 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $30.20 | Professional | None | $15.14 | $15.85 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $25.70 | Professional | None | $12.30 | $15.49 | $25.70 |
BCBS Texas Setting Facility Modifier None Typical Low $35.48 Median $89.13 Typical High $169.82 | Facility | None | $35.48 | $89.13 | $169.82 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $14.13 Typical High $18.20 | Professional | None | $5.01 | $14.13 | $18.20 |
Christus Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $54.95 Typical High $79.43 | Facility | None | $12.30 | $54.95 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $36.31 | Professional | None | $10.23 | $13.18 | $36.31 |
Health Smart Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $38.90 | Professional | None | $21.88 | $24.55 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $38.90 | Professional | None | $21.88 | $24.55 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $30.20 Typical High $177.83 | Facility | None | $18.62 | $30.20 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $23.99 | Professional | None | $10.47 | $15.85 | $23.99 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $21.38 | Professional | None | $17.78 | $19.05 | $21.38 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $26.92 Typical High $79.43 | Facility | None | $15.14 | $26.92 | $79.43 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $26.92 | Professional | None | $10.23 | $13.18 | $26.92 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.72 Typical High $25.70 | Facility | None | $9.12 | $10.72 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $25.70 | Professional | None | $10.72 | $10.72 | $25.70 |
Wellpoint Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $13.18 | Professional | None | $10.23 | $10.23 | $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 $8.32 Median $18.20 Typical High $69.18 | Facility | 52 · Reduced service | $8.32 | $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 $8.32 Typical High $15.14 | Professional | 52 · Reduced service | $7.59 | $8.32 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.39 Typical High $6.17 | Professional | 53 · Discontinued | $3.02 | $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 $3.02 Median $3.16 Typical High $4.90 | Professional | 53 · Discontinued | $3.02 | $3.16 | $4.90 |
Where Texas sits
The same service costs 3.8 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· 16th of 51
$26.92
AK $57.54AL $15.14
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.