How much rates vary
Facilitymedian $46 · 10th to 90th $27 to $214Professionalmedian $27 · 10th to 90th $19 to $46
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 $45.71 Median $56.23 Typical High $323.59 | Facility | None | $45.71 | $56.23 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $50.12 | Professional | None | $38.02 | $45.71 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $34.67 | Professional | None | $17.78 | $17.78 | $34.67 |
BCBS Texas Setting Facility Modifier None Typical Low $26.92 Median $109.65 Typical High $245.47 | Facility | None | $26.92 | $109.65 | $245.47 |
BCBS Texas Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $34.67 | Professional | None | $19.50 | $19.95 | $34.67 |
Baylor Scott & White Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Christus Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $97.72 | Facility | None | $23.99 | $58.88 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $52.48 | Professional | None | $18.62 | $31.62 | $52.48 |
Health Smart Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $58.88 | Professional | None | $30.20 | $38.90 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $58.88 | Professional | None | $30.20 | $38.90 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $13.18 Median $46.77 Typical High $141.25 | Facility | None | $13.18 | $46.77 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $52.48 | Professional | None | $36.31 | $45.71 | $52.48 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | None | $26.30 | $29.51 | $29.51 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $97.72 | Facility | None | $30.20 | $38.90 | $97.72 |
Providence Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $45.71 | Professional | None | $17.78 | $30.90 | $45.71 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $35.48 | Facility | None | $12.59 | $14.79 | $35.48 |
United Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $44.67 | Professional | None | $17.78 | $19.05 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
11 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 $22.39 Median $53.70 Typical High $162.18 | Facility | 52 · Reduced service | $22.39 | $53.70 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $21.88 Typical High $64.57 | Facility | 53 · Discontinued | $9.12 | $21.88 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $17.78 Typical High $35.48 | Professional | QW · Waived lab test | $15.14 | $17.78 | $35.48 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $22.39 Median $53.70 Typical High $162.18 | Facility | 52 · Reduced service | $22.39 | $53.70 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $21.88 Typical High $64.57 | Facility | 53 · Discontinued | $9.12 | $21.88 | $64.57 |
Moda Health Setting Facility Modifier QW · Waived lab test Typical Low $44.67 Median $67.61 Typical High $194.98 | Facility | QW · Waived lab test | $44.67 | $67.61 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $22.91 Median $36.31 Typical High $52.48 | Professional | QW · Waived lab test | $22.91 | $36.31 | $52.48 |
Where Texas sits
The same service costs 4.5 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· 9th of 51
$45.71
AK $79.43AL $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.