How much rates vary
Facilitymedian $98 · 10th to 90th $42 to $282Professionalmedian $32 · 10th to 90th $5 to $501
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 $28.18 Median $56.23 Typical High $218.78 | Facility | None | $28.18 | $56.23 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $39.81 | Professional | None | $22.91 | $26.30 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $70.79 | Professional | None | $26.30 | $29.51 | $70.79 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $131.83 Typical High $281.84 | Facility | None | $46.77 | $131.83 | $281.84 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $23.44 Typical High $58.88 | Professional | None | $5.01 | $23.44 | $58.88 |
Christus Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $177.83 | Facility | None | $47.86 | $95.50 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $89.13 | Professional | None | $24.55 | $30.90 | $89.13 |
Health Smart Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $218.78 Typical High $416.87 | Facility | None | $38.90 | $218.78 | $416.87 |
Moda Health Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $46.77 | Professional | None | $23.99 | $26.92 | $46.77 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | None | $36.31 | $36.31 | $41.69 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $104.71 Typical High $199.53 | Facility | None | $34.67 | $104.71 | $199.53 |
Providence Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $83.18 | Professional | None | $24.55 | $33.88 | $83.18 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.78 Typical High $42.66 | Facility | None | $15.49 | $17.78 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $36.31 | Professional | None | $17.78 | $24.55 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | None | $21.38 | $21.38 | $22.39 |
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 $14.45 Median $30.90 Typical High $114.82 | Facility | 52 · Reduced service | $14.45 | $30.90 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $12.30 Typical High $46.77 | Facility | 53 · Discontinued | $5.75 | $12.30 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.49 Typical High $19.95 | Professional | 52 · Reduced service | $12.88 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $8.13 | Professional | 53 · Discontinued | $5.13 | $5.37 | $8.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $16.22 Median $30.90 Typical High $114.82 | Facility | 52 · Reduced service | $16.22 | $30.90 | $114.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $12.30 Typical High $46.77 | Facility | 53 · Discontinued | $6.46 | $12.30 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.18 Typical High $16.98 | Professional | 52 · Reduced service | $12.88 | $13.18 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $6.92 | Professional | 53 · Discontinued | $5.13 | $5.37 | $6.92 |
Where Texas sits
The same service costs 3.0 times more in Alaska 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· 17th of 51
$52.48
AK $95.50MD $31.62
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.