How much rates vary
Facilitymedian $89 · 10th to 90th $37 to $234Professionalmedian $22 · 10th to 90th $5 to $324
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 $22.91 Median $45.71 Typical High $177.83 | Facility | None | $22.91 | $45.71 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $45.71 | Professional | None | $18.62 | $22.91 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $234.42 | Facility | None | $47.86 | $125.89 | $234.42 |
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 Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $48.98 | Professional | None | $35.48 | $36.31 | $48.98 |
Christus Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
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 $74.13 | Professional | None | $19.95 | $25.70 | $74.13 |
Health Smart Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | None | $33.11 | $33.11 | $53.70 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $186.21 Typical High $457.09 | Facility | None | $30.90 | $186.21 | $457.09 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $43.65 | Professional | None | $19.50 | $23.44 | $43.65 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | None | $29.51 | $29.51 | $33.88 |
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 $67.61 | Professional | None | $19.95 | $28.18 | $67.61 |
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 $18.20 | Professional | None | $17.38 | $17.38 | $18.20 |
10 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 $15.49 Median $17.38 Typical High $21.38 | Professional | 59 · Distinct service | $15.49 | $17.38 | $21.38 |
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 Facility Modifier 59 · Distinct service Typical Low $229.09 Median $251.19 Typical High $331.13 | Facility | 59 · Distinct service | $229.09 | $251.19 | $331.13 |
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 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· 20th of 51
$40.74
AK $79.43MD $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.