How much rates vary
Facilitymedian $59 · 10th to 90th $30 to $178Professionalmedian $18 · 10th to 90th $5 to $33
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 $21.88 Median $42.66 Typical High $165.96 | Facility | None | $21.88 | $42.66 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $38.90 | Professional | None | $19.50 | $20.42 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | None | $13.80 | $16.22 | $16.22 |
BCBS Texas Setting Facility Modifier None Typical Low $44.67 Median $114.82 Typical High $218.78 | Facility | None | $44.67 | $114.82 | $218.78 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $18.20 Typical High $26.30 | Professional | None | $5.01 | $18.20 | $26.30 |
Baylor Scott & White Setting Facility Modifier None Typical Low $30.90 Median $45.71 Typical High $138.04 | Facility | None | $30.90 | $45.71 | $138.04 |
Christus Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $70.79 Typical High $102.33 | Facility | None | $23.99 | $70.79 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $24.55 Typical High $54.95 | Professional | None | $14.45 | $24.55 | $54.95 |
Lucent Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $34.67 Typical High $151.36 | Facility | None | $23.44 | $34.67 | $151.36 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $33.11 | Professional | None | $19.50 | $21.88 | $33.11 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | None | $24.55 | $27.54 | $27.54 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $38.90 Typical High $120.23 | Facility | None | $23.99 | $38.90 | $120.23 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $54.95 | Professional | None | $14.45 | $23.99 | $54.95 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.80 Typical High $33.11 | Facility | None | $11.75 | $13.80 | $33.11 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | None | $13.80 | $13.80 | $19.50 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
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 $10.72 Median $23.44 Typical High $89.13 | Facility | 52 · Reduced service | $10.72 | $23.44 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $9.33 Typical High $35.48 | Facility | 53 · Discontinued | $4.37 | $9.33 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.72 Typical High $19.50 | Professional | 52 · Reduced service | $9.77 | $10.72 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.37 Typical High $7.94 | Professional | 53 · Discontinued | $3.89 | $4.37 | $7.94 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $23.44 Typical High $89.13 | Facility | 52 · Reduced service | $12.30 | $23.44 | $89.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $9.33 Typical High $35.48 | Facility | 53 · Discontinued | $5.01 | $9.33 | $35.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.23 Typical High $15.85 | Professional | 52 · Reduced service | $9.77 | $10.23 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.07 Typical High $6.31 | Professional | 53 · Discontinued | $3.89 | $4.07 | $6.31 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 26th of 51
$29.51
AK $74.13KY $19.50
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.