How much rates vary
Facilitymedian $148 · 10th to 90th $51 to $309Professionalmedian $48 · 10th to 90th $5 to $417
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 $37.15 Median $79.43 Typical High $302.00 | Facility | None | $37.15 | $79.43 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $34.67 Typical High $47.86 | Professional | None | $7.94 | $34.67 | $47.86 |
BCBS Texas Setting Facility Modifier None Typical Low $85.11 Median $194.98 Typical High $407.38 | Facility | None | $85.11 | $194.98 | $407.38 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $30.90 Typical High $75.86 | Professional | None | $5.01 | $30.90 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $177.83 | Facility | None | $48.98 | $120.23 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $95.50 | Professional | None | $26.92 | $35.48 | $95.50 |
Health Smart Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $67.61 Typical High $275.42 | Facility | None | $39.81 | $67.61 | $275.42 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $34.67 Typical High $52.48 | Professional | None | $7.94 | $34.67 | $52.48 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | None | $46.77 | $46.77 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $117.49 | Professional | None | $53.70 | $60.26 | $117.49 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $128.82 Typical High $218.78 | Facility | None | $44.67 | $128.82 | $218.78 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $95.50 | Professional | None | $26.92 | $39.81 | $95.50 |
United Setting Facility Modifier None Typical Low $19.95 Median $23.44 Typical High $56.23 | Facility | None | $19.95 | $23.44 | $56.23 |
United Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $39.81 | Professional | None | $23.44 | $24.55 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | None | $22.39 | $22.39 | $28.84 |
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 $18.62 Median $39.81 Typical High $151.36 | Facility | 52 · Reduced service | $18.62 | $39.81 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $16.22 Typical High $60.26 | Facility | 53 · Discontinued | $7.41 | $16.22 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $17.38 Typical High $25.70 | Professional | 52 · Reduced service | $16.60 | $17.38 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.08 Typical High $10.23 | Professional | 53 · Discontinued | $6.76 | $7.08 | $10.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $39.81 Typical High $151.36 | Facility | 52 · Reduced service | $20.89 | $39.81 | $151.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $16.22 Typical High $60.26 | Facility | 53 · Discontinued | $8.51 | $16.22 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $17.38 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $17.38 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $8.91 | Professional | 53 · Discontinued | $6.76 | $6.92 | $8.91 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 8th of 51
$72.44
AK $126DE $33.11
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.