How much rates vary
Facilitymedian $79 · 10th to 90th $42 to $224Professionalmedian $316 · 10th to 90th $20 to $363
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 $60.26 Typical High $223.87 | Facility | None | $28.18 | $60.26 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $25.70 Typical High $36.31 | Professional | None | $7.94 | $25.70 | $36.31 |
BCBS Texas Setting Facility Modifier None Typical Low $67.61 Median $154.88 Typical High $316.23 | Facility | None | $67.61 | $154.88 | $316.23 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $22.91 Typical High $37.15 | Professional | None | $5.01 | $22.91 | $37.15 |
Christus Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $173.78 | Facility | None | $46.77 | $93.33 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $87.10 | Professional | None | $23.99 | $30.20 | $87.10 |
Health Smart Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Lucent Health Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $363.08 | Professional | None | $316.23 | $363.08 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $208.93 | Facility | None | $31.62 | $50.12 | $208.93 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $25.70 Typical High $41.69 | Professional | None | $7.94 | $25.70 | $41.69 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | None | $35.48 | $35.48 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $89.13 | Professional | None | $40.74 | $44.67 | $89.13 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $102.33 Typical High $190.55 | Facility | None | $33.88 | $102.33 | $190.55 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $81.28 | Professional | None | $23.99 | $33.11 | $81.28 |
United Setting Facility Modifier None Typical Low $15.14 Median $17.38 Typical High $41.69 | Facility | None | $15.14 | $17.38 | $41.69 |
United Setting Professional Modifier None Typical Low $17.38 Median $23.99 Typical High $35.48 | Professional | None | $17.38 | $23.99 | $35.48 |
Wellpoint Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | None | $20.42 | $20.42 | $21.88 |
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 $14.13 Median $30.20 Typical High $112.20 | Facility | 52 · Reduced service | $14.13 | $30.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $12.02 Typical High $45.71 | Facility | 53 · Discontinued | $5.62 | $12.02 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.18 Typical High $19.50 | Professional | 52 · Reduced service | $12.59 | $13.18 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.25 Typical High $7.76 | Professional | 53 · Discontinued | $5.01 | $5.25 | $7.76 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $30.20 Typical High $112.20 | Facility | 52 · Reduced service | $15.85 | $30.20 | $112.20 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $12.02 Typical High $45.71 | Facility | 53 · Discontinued | $6.31 | $12.02 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.88 Typical High $16.60 | Professional | 52 · Reduced service | $12.59 | $12.88 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $6.61 | Professional | 53 · Discontinued | $5.01 | $5.13 | $6.61 |
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· 2nd of 51
$91.20
AK $93.33DE $28.18
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.