How much rates vary
Facilitymedian $100 · 10th to 90th $40 to $240Professionalmedian $30 · 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 $27.54 Median $56.23 Typical High $213.80 | Facility | None | $27.54 | $56.23 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $38.90 | Professional | None | $21.88 | $25.70 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
BCBS Texas Setting Facility Modifier None Typical Low $57.54 Median $151.36 Typical High $275.42 | Facility | None | $57.54 | $151.36 | $275.42 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $22.91 Typical High $56.23 | Professional | None | $5.01 | $22.91 | $56.23 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $91.20 Typical High $147.91 | Facility | None | $40.74 | $91.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $77.62 | Professional | None | $21.38 | $26.92 | $77.62 |
Health Smart Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $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 $31.62 Median $77.62 Typical High $309.03 | Facility | None | $31.62 | $77.62 | $309.03 |
Moda Health Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $41.69 | Professional | None | $21.88 | $25.70 | $41.69 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | None | $34.67 | $34.67 | $39.81 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $102.33 Typical High $177.83 | Facility | None | $33.11 | $102.33 | $177.83 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $74.13 | Professional | None | $21.38 | $32.36 | $74.13 |
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 $20.42 Typical High $29.51 | Professional | None | $17.38 | $20.42 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | None | $17.38 | $17.38 | $21.38 |
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 $44.67 | Facility | 53 · Discontinued | $5.62 | $12.02 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.88 Typical High $19.50 | Professional | 52 · Reduced service | $12.59 | $12.88 | $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 $44.67 | Facility | 53 · Discontinued | $6.31 | $12.02 | $44.67 |
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 Florida. 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· 13th of 51
$51.29
AK $93.33FL $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.