How much rates vary
Facilitymedian $186 · 10th to 90th $65 to $355Professionalmedian $35 · 10th to 90th $5 to $56
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 $323.59 | Facility | None | $42.66 | $93.33 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $67.61 | Professional | None | $38.90 | $40.74 | $67.61 |
BCBS Texas Setting Facility Modifier None Typical Low $85.11 Median $223.87 Typical High $426.58 | Facility | None | $85.11 | $223.87 | $426.58 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $35.48 Typical High $44.67 | Professional | None | $5.01 | $35.48 | $44.67 |
Baylor Scott & White Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $257.04 | Facility | None | $64.57 | $93.33 | $257.04 |
Christus Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $134.90 Typical High $199.53 | Facility | None | $38.90 | $134.90 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $43.65 Typical High $104.71 | Professional | None | $25.12 | $43.65 | $104.71 |
Lucent Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $302.00 | Facility | None | $44.67 | $64.57 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $64.57 | Professional | None | $38.90 | $40.74 | $64.57 |
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 $42.66 Median $72.44 Typical High $213.80 | Facility | None | $42.66 | $72.44 | $213.80 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $107.15 | Professional | None | $25.12 | $39.81 | $107.15 |
United Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $64.57 | Facility | None | $22.91 | $26.92 | $64.57 |
United Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $38.90 | Professional | None | $22.39 | $26.92 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | None | $25.70 | $25.70 | $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 $45.71 Typical High $173.78 | Facility | 52 · Reduced service | $21.38 | $45.71 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $18.62 Typical High $69.18 | Facility | 53 · Discontinued | $8.51 | $18.62 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $21.38 Typical High $33.88 | Professional | 52 · Reduced service | $19.05 | $21.38 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.51 Typical High $13.49 | Professional | 53 · Discontinued | $7.76 | $8.51 | $13.49 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.99 Median $45.71 Typical High $173.78 | Facility | 52 · Reduced service | $23.99 | $45.71 | $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 $19.05 Median $19.95 Typical High $30.20 | Professional | 52 · Reduced service | $19.05 | $19.95 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $12.02 | Professional | 53 · Discontinued | $7.76 | $7.94 | $12.02 |
Where Texas sits
The same service costs 6.0 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· 5th of 51
$81.28
AK $145AL $23.99
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.