How much rates vary
Facilitymedian $126 · 10th to 90th $37 to $316Professionalmedian $71 · 10th to 90th $5 to $437
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 $38.02 Median $83.18 Typical High $316.23 | Facility | None | $38.02 | $83.18 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $36.31 Typical High $46.77 | Professional | None | $7.94 | $36.31 | $46.77 |
BCBS Texas Setting Facility Modifier None Typical Low $70.79 Median $199.53 Typical High $354.81 | Facility | None | $70.79 | $199.53 | $354.81 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $33.11 Typical High $79.43 | Professional | None | $5.01 | $33.11 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $85.11 Typical High $181.97 | Facility | None | $25.12 | $85.11 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $29.51 Typical High $89.13 | Professional | None | $12.88 | $29.51 | $89.13 |
Health Smart Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | None | $288.40 | $288.40 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $288.40 | Facility | None | $36.31 | $64.57 | $288.40 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $36.31 Typical High $50.12 | Professional | None | $7.94 | $36.31 | $50.12 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | None | $48.98 | $48.98 | $56.23 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $83.18 Typical High $181.97 | Facility | None | $29.51 | $83.18 | $181.97 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $30.90 Typical High $89.13 | Professional | None | $12.88 | $30.90 | $89.13 |
United Setting Facility Modifier None Typical Low $20.89 Median $24.55 Typical High $57.54 | Facility | None | $20.89 | $24.55 | $57.54 |
United Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $34.67 | Professional | None | $11.48 | $24.55 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | None | $23.44 | $23.44 | $30.20 |
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 $19.05 Median $41.69 Typical High $158.49 | Facility | 52 · Reduced service | $19.05 | $41.69 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $16.60 Typical High $63.10 | Facility | 53 · Discontinued | $7.59 | $16.60 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $25.12 | Professional | 52 · Reduced service | $17.38 | $17.78 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $10.00 | Professional | 53 · Discontinued | $6.92 | $7.24 | $10.00 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $21.88 Median $41.69 Typical High $158.49 | Facility | 52 · Reduced service | $21.88 | $41.69 | $158.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $16.60 Typical High $63.10 | Facility | 53 · Discontinued | $8.71 | $16.60 | $63.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $23.44 | Professional | 52 · Reduced service | $17.38 | $17.78 | $23.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $9.33 | Professional | 53 · Discontinued | $6.92 | $7.24 | $9.33 |
Where Texas sits
The same service costs 5.1 times more in Alaska than in Kansas. 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· 4th of 51
$79.43
AK $132KS $25.70
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.