How much rates vary
Facilitymedian $251 · 10th to 90th $141 to $724Professionalmedian $141 · 10th to 90th $74 to $1,072
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 $141.25 Median $288.40 Typical High $1,023.29 | Facility | None | $141.25 | $288.40 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $194.98 | Professional | None | $120.23 | $141.25 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $141.25 Typical High $141.25 | Professional | None | $60.26 | $141.25 | $141.25 |
BCBS Texas Setting Facility Modifier None Typical Low $141.25 Median $398.11 Typical High $831.76 | Facility | None | $141.25 | $398.11 | $831.76 |
BCBS Texas Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $194.98 | Professional | None | $77.62 | $85.11 | $194.98 |
Baylor Scott & White Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $478.63 | Facility | None | $131.83 | $141.25 | $478.63 |
Baylor Scott & White Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Christus Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $389.05 | Facility | None | $97.72 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $239.88 | Professional | None | $74.13 | $125.89 | $239.88 |
Health Smart Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $213.80 | Professional | None | $120.23 | $158.49 | $213.80 |
Lucent Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,071.52 | Professional | None | $707.95 | $707.95 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $288.40 Typical High $724.44 | Facility | None | $56.23 | $288.40 | $724.44 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | None | $141.25 | $141.25 | $194.98 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | None | $120.23 | $120.23 | $138.04 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $302.00 | Professional | None | $138.04 | $154.88 | $302.00 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $309.03 Typical High $354.81 | Facility | None | $114.82 | $309.03 | $354.81 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $239.88 | Professional | None | $74.13 | $128.82 | $239.88 |
United Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $141.25 | Facility | None | $51.29 | $60.26 | $141.25 |
United Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $141.25 | Professional | None | $63.10 | $66.07 | $141.25 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
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 $70.79 Median $169.82 Typical High $512.86 | Facility | 52 · Reduced service | $70.79 | $169.82 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $69.18 Typical High $204.17 | Facility | 53 · Discontinued | $28.84 | $69.18 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $60.26 Median $70.79 Typical High $114.82 | Professional | QW · Waived lab test | $60.26 | $70.79 | $114.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $169.82 Typical High $512.86 | Facility | 52 · Reduced service | $70.79 | $169.82 | $512.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $69.18 Typical High $204.17 | Facility | 53 · Discontinued | $28.84 | $69.18 | $204.17 |
Moda Health Setting Facility Modifier QW · Waived lab test Typical Low $46.77 Median $52.48 Typical High $407.38 | Facility | QW · Waived lab test | $46.77 | $52.48 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $85.11 Median $144.54 Typical High $257.04 | Professional | QW · Waived lab test | $85.11 | $144.54 | $257.04 |
Where Texas sits
The same service costs 4.3 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· 11th of 51
$170
AK $295AL $69.18
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.