How much rates vary
Facilitymedian $76 · 10th to 90th $27 to $148Professionalmedian $20 · 10th to 90th $5 to $263
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 $17.78 Median $38.90 Typical High $138.04 | Facility | None | $17.78 | $38.90 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $23.99 | Professional | None | $13.49 | $16.60 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
BCBS Texas Setting Facility Modifier None Typical Low $37.15 Median $93.33 Typical High $154.88 | Facility | None | $37.15 | $93.33 | $154.88 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $14.79 Typical High $36.31 | Professional | None | $5.01 | $14.79 | $36.31 |
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 $16.98 Typical High $45.71 | Professional | None | $12.88 | $16.98 | $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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $144.54 | Facility | None | $20.42 | $33.88 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $25.12 | Professional | None | $13.49 | $16.60 | $25.12 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | None | $22.39 | $22.39 | $25.70 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $57.54 | Professional | None | $26.30 | $28.84 | $57.54 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $61.66 Typical High $104.71 | Facility | None | $21.38 | $61.66 | $104.71 |
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 $11.22 Typical High $26.92 | Facility | None | $9.77 | $11.22 | $26.92 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $19.05 | Professional | None | $11.22 | $11.75 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | None | $10.72 | $10.72 | $13.80 |
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 $8.91 Median $19.50 Typical High $72.44 | Facility | 52 · Reduced service | $8.91 | $19.50 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $7.76 Typical High $28.84 | Facility | 53 · Discontinued | $3.63 | $7.76 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $12.59 | Professional | 52 · Reduced service | $8.13 | $8.51 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.39 Typical High $5.01 | Professional | 53 · Discontinued | $3.24 | $3.39 | $5.01 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.23 Median $19.50 Typical High $72.44 | Facility | 52 · Reduced service | $10.23 | $19.50 | $72.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $7.76 Typical High $28.84 | Facility | 53 · Discontinued | $4.07 | $7.76 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.32 Typical High $10.72 | Professional | 52 · Reduced service | $8.13 | $8.32 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $4.27 | Professional | 53 · Discontinued | $3.24 | $3.31 | $4.27 |
Where Texas sits
The same service costs 5.1 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· 6th of 51
$36.31
AK $60.26AL $11.75
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.