How much rates vary
Facilitymedian $107 · 10th to 90th $45 to $282Professionalmedian $32 · 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 $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 $26.92 Typical High $51.29 | Professional | None | $22.91 | $26.92 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $42.66 | Professional | None | $19.05 | $19.05 | $42.66 |
BCBS Texas Setting Facility Modifier None Typical Low $52.48 Median $151.36 Typical High $288.40 | Facility | None | $52.48 | $151.36 | $288.40 |
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $223.87 Typical High $416.87 | Facility | None | $37.15 | $223.87 | $416.87 |
Moda Health Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $51.29 | Professional | None | $22.91 | $28.18 | $51.29 |
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 4.5 times more in Kansas 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· 21st of 51
$52.48
KS $145MD $32.36
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.