How much rates vary
Facilitymedian $282 · 10th to 90th $126 to $692Professionalmedian $102 · 10th to 90th $5 to $955
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 $85.11 Median $165.96 Typical High $660.69 | Facility | None | $85.11 | $165.96 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $79.43 Typical High $120.23 | Professional | None | $7.94 | $79.43 | $120.23 |
BCBS Texas Setting Facility Modifier None Typical Low $173.78 Median $446.68 Typical High $741.31 | Facility | None | $173.78 | $446.68 | $741.31 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $70.79 Typical High $173.78 | Professional | None | $5.01 | $70.79 | $173.78 |
Baylor Scott & White Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $213.80 | Facility | None | $114.82 | $128.82 | $213.80 |
Baylor Scott & White Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $177.83 | Professional | None | $89.13 | $128.82 | $177.83 |
Christus Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $275.42 Typical High $398.11 | Facility | None | $128.82 | $275.42 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $251.19 | Professional | None | $72.44 | $89.13 | $251.19 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $954.99 | Professional | None | $645.65 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $154.88 Typical High $691.83 | Facility | None | $85.11 | $154.88 | $691.83 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $128.82 | Professional | None | $67.61 | $79.43 | $128.82 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | None | $107.15 | $107.15 | $123.03 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $316.23 Typical High $691.83 | Facility | None | $109.65 | $316.23 | $691.83 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $239.88 | Professional | None | $72.44 | $97.72 | $239.88 |
United Setting Facility Modifier None Typical Low $45.71 Median $53.70 Typical High $128.82 | Facility | None | $45.71 | $53.70 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $104.71 | Professional | None | $53.70 | $74.13 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | None | $63.10 | $63.10 | $66.07 |
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 $42.66 Median $93.33 Typical High $346.74 | Facility | 52 · Reduced service | $42.66 | $93.33 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $37.15 Typical High $138.04 | Facility | 53 · Discontinued | $17.38 | $37.15 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | 52 · Reduced service | $38.90 | $40.74 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $23.99 | Professional | 53 · Discontinued | $15.49 | $16.22 | $23.99 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 90 · Outside lab | $64.57 | $64.57 | $64.57 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $93.33 Typical High $346.74 | Facility | 52 · Reduced service | $48.98 | $93.33 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $37.15 Typical High $138.04 | Facility | 53 · Discontinued | $19.50 | $37.15 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $39.81 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $20.42 | Professional | 53 · Discontinued | $15.49 | $15.85 | $20.42 |
Where Texas sits
The same service costs 3.3 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· 15th of 51
$158
AK $288DE $87.10
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.