How much rates vary
Facilitymedian $105 · 10th to 90th $51 to $295Professionalmedian $51 · 10th to 90th $28 to $389
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 $51.29 Median $61.66 Typical High $363.08 | Facility | None | $51.29 | $61.66 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | None | $43.65 | $51.29 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $32.36 | Professional | None | $21.88 | $25.70 | $32.36 |
BCBS Texas Setting Facility Modifier None Typical Low $51.29 Median $154.88 Typical High $338.84 | Facility | None | $51.29 | $154.88 | $338.84 |
BCBS Texas Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $69.18 | Professional | None | $28.18 | $30.90 | $69.18 |
Baylor Scott & White Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $165.96 | Facility | None | $45.71 | $51.29 | $165.96 |
Christus Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $151.36 | Facility | None | $54.95 | $85.11 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $85.11 | Professional | None | $26.92 | $45.71 | $85.11 |
Health Smart Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $77.62 | Professional | None | $43.65 | $57.54 | $77.62 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | None | $257.04 | $257.04 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $234.42 | Facility | None | $51.29 | $114.82 | $234.42 |
Moda Health Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | None | $43.65 | $51.29 | $77.62 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None | $42.66 | $42.66 | $50.12 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $109.65 | Professional | None | $50.12 | $54.95 | $109.65 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $54.95 Typical High $134.90 | Facility | None | $51.29 | $54.95 | $134.90 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $85.11 | Professional | None | $26.92 | $46.77 | $85.11 |
United Setting Facility Modifier None Typical Low $18.62 Median $21.38 Typical High $51.29 | Facility | None | $18.62 | $21.38 | $51.29 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | None | $30.90 | $30.90 | $51.29 |
Wellpoint Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
11 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 $25.70 Median $61.66 Typical High $181.97 | Facility | 52 · Reduced service | $25.70 | $61.66 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $24.55 Typical High $72.44 | Facility | 53 · Discontinued | $10.23 | $24.55 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $21.88 Median $25.70 Typical High $51.29 | Professional | QW · Waived lab test | $21.88 | $25.70 | $51.29 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $25.70 Median $61.66 Typical High $181.97 | Facility | 52 · Reduced service | $25.70 | $61.66 | $181.97 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $24.55 Typical High $72.44 | Facility | 53 · Discontinued | $10.23 | $24.55 | $72.44 |
Moda Health Setting Facility Modifier QW · Waived lab test Typical Low $77.62 Median $128.82 Typical High $251.19 | Facility | QW · Waived lab test | $77.62 | $128.82 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $47.86 Median $67.61 Typical High $131.83 | Professional | QW · Waived lab test | $47.86 | $67.61 | $131.83 |
Where Texas sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 9th of 51
$69.18
MN $105NM $47.86
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.