How much rates vary
Facilitymedian $219 · 10th to 90th $89 to $490Professionalmedian $105 · 10th to 90th $5 to $741
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 $56.23 Median $109.65 Typical High $436.52 | Facility | None | $56.23 | $109.65 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $104.71 | Professional | None | $44.67 | $52.48 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $102.33 | Professional | None | $42.66 | $52.48 | $102.33 |
BCBS Texas Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $524.81 | Facility | None | $128.82 | $316.23 | $524.81 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $46.77 Typical High $114.82 | Professional | None | $5.01 | $46.77 | $114.82 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $186.21 Typical High $354.81 | Facility | None | $95.50 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $177.83 | Professional | None | $47.86 | $61.66 | $177.83 |
Health Smart Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | None | $81.28 | $81.28 | $131.83 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | None | $630.96 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $309.03 Typical High $549.54 | Facility | None | $70.79 | $309.03 | $549.54 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $104.71 | Professional | None | $47.86 | $56.23 | $104.71 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | None | $70.79 | $70.79 | $81.28 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $208.93 Typical High $389.05 | Facility | None | $67.61 | $208.93 | $389.05 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $165.96 | Professional | None | $47.86 | $67.61 | $165.96 |
United Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $85.11 | Facility | None | $30.90 | $35.48 | $85.11 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $72.44 | Professional | None | $35.48 | $48.98 | $72.44 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
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 $28.18 Median $61.66 Typical High $229.09 | Facility | 52 · Reduced service | $28.18 | $61.66 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $24.55 Typical High $91.20 | Facility | 53 · Discontinued | $11.48 | $24.55 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $39.81 | Professional | 52 · Reduced service | $25.70 | $26.92 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $15.85 | Professional | 53 · Discontinued | $10.23 | $10.72 | $15.85 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $32.36 Median $61.66 Typical High $229.09 | Facility | 52 · Reduced service | $32.36 | $61.66 | $229.09 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $24.55 Typical High $91.20 | Facility | 53 · Discontinued | $12.88 | $24.55 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.30 Typical High $33.88 | Professional | 52 · Reduced service | $25.70 | $26.30 | $33.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $13.49 | Professional | 53 · Discontinued | $10.23 | $10.47 | $13.49 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 11th of 51
$117
AK $191NJ $63.10
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.