How much rates vary
Facilitymedian $72 · 10th to 90th $26 to $155Professionalmedian $34 · 10th to 90th $5 to $204
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 $18.20 Median $38.90 Typical High $147.91 | Facility | None | $18.20 | $38.90 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $16.98 Typical High $23.44 | Professional | None | $7.94 | $16.98 | $23.44 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $95.50 Typical High $199.53 | Facility | None | $43.65 | $95.50 | $199.53 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $15.49 Typical High $37.15 | Professional | None | $5.01 | $15.49 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $85.11 | Facility | None | $23.44 | $58.88 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $45.71 | Professional | None | $12.88 | $17.38 | $45.71 |
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 $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $134.90 | Facility | None | $20.42 | $33.11 | $134.90 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $16.98 Typical High $25.70 | Professional | None | $7.94 | $16.98 | $25.70 |
Molina Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | None | $22.91 | $22.91 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $57.54 | Professional | None | $26.30 | $29.51 | $57.54 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $63.10 Typical High $107.15 | Facility | None | $21.38 | $63.10 | $107.15 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $45.71 | Professional | None | $12.88 | $20.42 | $45.71 |
United Setting Facility Modifier None Typical Low $9.77 Median $11.48 Typical High $27.54 | Facility | None | $9.77 | $11.48 | $27.54 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $19.50 | Professional | None | $11.48 | $11.75 | $19.50 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | None | $10.96 | $10.96 | $14.13 |
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 $9.12 Median $19.50 Typical High $74.13 | Facility | 52 · Reduced service | $9.12 | $19.50 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $7.94 Typical High $29.51 | Facility | 53 · Discontinued | $3.63 | $7.94 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $12.88 | Professional | 52 · Reduced service | $8.13 | $8.51 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.47 Typical High $5.13 | Professional | 53 · Discontinued | $3.24 | $3.47 | $5.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.23 Median $19.50 Typical High $74.13 | Facility | 52 · Reduced service | $10.23 | $19.50 | $74.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $7.94 Typical High $29.51 | Facility | 53 · Discontinued | $4.17 | $7.94 | $29.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $8.51 | $10.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.39 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $3.39 | $4.37 |
Where Texas sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 3rd of 51
$41.69
AK $61.66AL $11.48
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.