How much rates vary
Facilitymedian $380 · 10th to 90th $30 to $1,230Professionalmedian $18 · 10th to 90th $8 to $34
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 $27.54 Median $56.23 Typical High $229.09 | Facility | None | $27.54 | $56.23 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $46.77 | Professional | None | $25.70 | $26.92 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | None | $27.54 | $27.54 | $48.98 |
BCBS Texas Setting Facility Modifier None Typical Low $281.84 Median $831.76 Typical High $1,621.81 | Facility | None | $281.84 | $831.76 | $1,621.81 |
BCBS Texas Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Christus Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $28.84 Typical High $123.03 | Facility | None | $3.02 | $28.84 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $22.91 Typical High $45.71 | Professional | None | $13.80 | $22.91 | $45.71 |
Health Smart Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Lucent Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $208.93 Typical High $295.12 | Facility | None | $33.11 | $208.93 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $33.88 | Professional | None | $20.89 | $26.92 | $33.88 |
Molina Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $7.59 | Professional | None | $3.98 | $5.75 | $7.59 |
Providence Setting Facility Modifier None Typical Low $3.16 Median $33.11 Typical High $114.82 | Facility | None | $3.16 | $33.11 | $114.82 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $43.65 | Professional | None | $13.80 | $17.38 | $43.65 |
United Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $741.31 | Facility | None | $549.54 | $562.34 | $741.31 |
United Setting Professional Modifier None Typical Low $11.75 Median $18.62 Typical High $26.92 | Professional | None | $11.75 | $18.62 | $26.92 |
Wellpoint Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
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 $13.80 Median $32.36 Typical High $120.23 | Facility | 52 · Reduced service | $13.80 | $32.36 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $12.88 Typical High $48.98 | Facility | 53 · Discontinued | $5.50 | $12.88 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.49 Typical High $23.99 | Professional | 52 · Reduced service | $12.88 | $13.49 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $9.55 | Professional | 53 · Discontinued | $5.13 | $5.37 | $9.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $32.36 Typical High $120.23 | Facility | 52 · Reduced service | $15.85 | $32.36 | $120.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $12.88 Typical High $48.98 | Facility | 53 · Discontinued | $6.31 | $12.88 | $48.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.49 Typical High $21.88 | Professional | 52 · Reduced service | $12.88 | $13.49 | $21.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $8.71 | Professional | 53 · Discontinued | $5.13 | $5.37 | $8.71 |
Where Texas sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 1st of 51
$200
TX $200AZ $19.95
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.