How much rates vary
Facilitymedian $91 · 10th to 90th $41 to $219Professionalmedian $32 · 10th to 90th $5 to $302
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 $26.92 Median $56.23 Typical High $204.17 | Facility | None | $26.92 | $56.23 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $50.12 | Professional | None | $21.88 | $26.30 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $56.23 Median $141.25 Typical High $234.42 | Facility | None | $56.23 | $141.25 | $234.42 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $22.39 Typical High $54.95 | Professional | None | $5.01 | $22.39 | $54.95 |
Baylor Scott & White Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $56.23 | Professional | None | $28.18 | $39.81 | $56.23 |
Christus Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $87.10 Typical High $125.89 | Facility | None | $35.48 | $87.10 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $72.44 | Professional | None | $20.42 | $25.70 | $72.44 |
Health Smart Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $302.00 | Professional | None | $204.17 | $302.00 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $48.98 Typical High $194.98 | Facility | None | $30.20 | $48.98 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $48.98 | Professional | None | $22.91 | $26.92 | $48.98 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | None | $33.88 | $33.88 | $38.90 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $87.10 | Professional | None | $39.81 | $43.65 | $87.10 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $100.00 Typical High $208.93 | Facility | None | $34.67 | $100.00 | $208.93 |
Providence Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $69.18 | Professional | None | $20.42 | $28.18 | $69.18 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.98 Typical High $40.74 | Facility | None | $14.45 | $16.98 | $40.74 |
United Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $28.84 | Professional | None | $16.98 | $19.95 | $28.84 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
9 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 $13.49 Median $29.51 Typical High $109.65 | Facility | 52 · Reduced service | $13.49 | $29.51 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $11.75 Typical High $43.65 | Facility | 53 · Discontinued | $5.37 | $11.75 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.88 Typical High $19.05 | Professional | 52 · Reduced service | $12.30 | $12.88 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.13 Typical High $7.59 | Professional | 53 · Discontinued | $4.90 | $5.13 | $7.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 59 · Distinct service | $16.98 | $20.42 | $20.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.49 Median $29.51 Typical High $109.65 | Facility | 52 · Reduced service | $15.49 | $29.51 | $109.65 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $11.75 Typical High $43.65 | Facility | 53 · Discontinued | $6.17 | $11.75 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.59 Typical High $16.22 | Professional | 52 · Reduced service | $12.30 | $12.59 | $16.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $6.46 | Professional | 53 · Discontinued | $4.90 | $5.01 | $6.46 |
Where Texas sits
The same service costs 3.5 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· 10th of 51
$50.12
AK $91.20FL $26.30
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.