How much rates vary
Facilitymedian $98 · 10th to 90th $39 to $234Professionalmedian $30 · 10th to 90th $5 to $309
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 $21.88 Median $35.48 Typical High $177.83 | Facility | None | $21.88 | $35.48 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $48.98 | Professional | None | $19.50 | $23.44 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $23.99 | Professional | None | $14.79 | $17.38 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $38.90 Median $112.20 Typical High $204.17 | Facility | None | $38.90 | $112.20 | $204.17 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $19.50 Typical High $47.86 | Professional | None | $5.01 | $19.50 | $47.86 |
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 |
Baylor Scott & White Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $85.11 | Professional | None | $48.98 | $57.54 | $85.11 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $77.62 Typical High $144.54 | Facility | None | $39.81 | $77.62 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $77.62 | Professional | None | $19.95 | $25.70 | $77.62 |
Health Smart Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $93.33 | Professional | None | $29.51 | $44.67 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | None | $288.40 | $288.40 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $154.88 Typical High $302.00 | Facility | None | $39.81 | $154.88 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $48.98 | Professional | None | $19.50 | $26.30 | $48.98 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | None | $29.51 | $29.51 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $79.43 | Professional | None | $31.62 | $40.74 | $79.43 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $85.11 Typical High $162.18 | Facility | None | $28.18 | $85.11 | $162.18 |
Providence Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $72.44 | Professional | None | $19.95 | $28.18 | $72.44 |
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 $14.79 Median $19.95 Typical High $29.51 | Professional | None | $14.79 | $19.95 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
9 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 $11.75 Median $25.12 Typical High $95.50 | Facility | 52 · Reduced service | $11.75 | $25.12 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $10.00 Typical High $38.02 | Facility | 53 · Discontinued | $4.68 | $10.00 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.96 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $10.96 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.47 Typical High $6.61 | Professional | 53 · Discontinued | $4.17 | $4.47 | $6.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $14.79 Median $17.38 Typical High $23.99 | Professional | 59 · Distinct service | $14.79 | $17.38 | $23.99 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $25.12 Typical High $95.50 | Facility | 52 · Reduced service | $13.18 | $25.12 | $95.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $10.00 Typical High $38.02 | Facility | 53 · Discontinued | $5.37 | $10.00 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.96 Typical High $14.13 | Professional | 52 · Reduced service | $10.47 | $10.96 | $14.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.17 | $4.37 | $5.62 |
Where Texas sits
The same service costs 4.3 times more in Minnesota than in Maryland. 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· 12th of 51
$48.98
MN $112MD $26.30
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.