How much rates vary
Facilitymedian $69 · 10th to 90th $20 to $191Professionalmedian $19 · 10th to 90th $5 to $27
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 $23.44 Median $51.29 Typical High $190.55 | Facility | None | $23.44 | $51.29 | $190.55 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $11.75 Median $25.12 Typical High $95.50 | Facility | 52 · Reduced service | $11.75 | $25.12 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $10.23 Typical High $38.02 | Facility | 53 · Discontinued | $4.68 | $10.23 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $35.48 | Professional | None | $21.38 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $11.22 Typical High $18.62 | Professional | 52 · Reduced service | $10.47 | $11.22 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.47 Typical High $7.41 | Professional | 53 · Discontinued | $4.27 | $4.47 | $7.41 |
BCBS Texas Setting Facility Modifier None Typical Low $47.86 Median $123.03 Typical High $213.80 | Facility | None | $47.86 | $123.03 | $213.80 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $19.50 Typical High $21.38 | Professional | None | $5.01 | $19.50 | $21.38 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $50.12 Typical High $109.65 | Facility | None | $14.79 | $50.12 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $18.20 Typical High $50.12 | Professional | None | $7.76 | $18.20 | $50.12 |
Health Smart Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Health Smart Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Lucent Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $16.60 Median $35.48 Typical High $131.83 | Facility | None | $16.60 | $35.48 | $131.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $13.49 Median $25.12 Typical High $95.50 | Facility | 52 · Reduced service | $13.49 | $25.12 | $95.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $10.23 Typical High $38.02 | Facility | 53 · Discontinued | $5.37 | $10.23 | $38.02 |
Moda Health Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $33.88 | Professional | None | $19.95 | $21.88 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.96 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $10.96 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.27 | $4.37 | $6.61 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | None | $26.30 | $29.51 | $29.51 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $109.65 | Facility | None | $15.14 | $36.31 | $109.65 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $16.60 Typical High $35.48 | Professional | None | $7.41 | $16.60 | $35.48 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $35.48 | Facility | None | $12.59 | $14.79 | $35.48 |
United Setting Professional Modifier None Typical Low $6.92 Median $14.79 Typical High $21.38 | Professional | None | $6.92 | $14.79 | $21.38 |
Wellpoint Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | None | $14.13 | $14.13 | $18.20 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 59 · Distinct service | $6.92 | $6.92 | $6.92 |
Where Texas sits
The same service costs 5.6 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· 36th of 51
$22.39
AK $79.43KY $14.13
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.