How much rates vary
Facilitymedian $129 · 10th to 90th $33 to $275Professionalmedian $69 · 10th to 90th $5 to $380
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 $33.11 Median $72.44 Typical High $275.42 | Facility | None | $33.11 | $72.44 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $40.74 | Professional | None | $28.18 | $31.62 | $40.74 |
BCBS Texas Setting Facility Modifier None Typical Low $56.23 Median $173.78 Typical High $288.40 | Facility | None | $56.23 | $173.78 | $288.40 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $27.54 Typical High $69.18 | Professional | None | $5.01 | $27.54 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $53.70 Typical High $138.04 | Facility | None | $14.13 | $53.70 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $25.70 Typical High $79.43 | Professional | None | $7.76 | $25.70 | $79.43 |
Health Smart Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Lucent Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | None | $251.19 | $251.19 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $251.19 | Facility | None | $30.20 | $56.23 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $40.74 | Professional | None | $28.18 | $31.62 | $40.74 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | None | $42.66 | $42.66 | $48.98 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $107.15 | Professional | None | $48.98 | $58.88 | $107.15 |
Providence Setting Facility Modifier None Typical Low $16.60 Median $53.70 Typical High $158.49 | Facility | None | $16.60 | $53.70 | $158.49 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $25.70 Typical High $77.62 | Professional | None | $7.76 | $25.70 | $77.62 |
United Setting Facility Modifier None Typical Low $18.20 Median $21.38 Typical High $50.12 | Facility | None | $18.20 | $21.38 | $50.12 |
United Setting Professional Modifier None Typical Low $9.77 Median $31.62 Typical High $100.00 | Professional | None | $9.77 | $31.62 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $50.12 | Professional | None | $20.42 | $20.42 | $50.12 |
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 $16.60 Median $36.31 Typical High $138.04 | Facility | 52 · Reduced service | $16.60 | $36.31 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $14.45 Typical High $54.95 | Facility | 53 · Discontinued | $6.61 | $14.45 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $15.85 Typical High $19.05 | Professional | 52 · Reduced service | $14.13 | $15.85 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $7.76 | Professional | 53 · Discontinued | $5.62 | $6.31 | $7.76 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $19.05 Median $36.31 Typical High $138.04 | Facility | 52 · Reduced service | $19.05 | $36.31 | $138.04 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $14.45 Typical High $54.95 | Facility | 53 · Discontinued | $7.59 | $14.45 | $54.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $15.85 Typical High $19.05 | Professional | 52 · Reduced service | $14.13 | $15.85 | $19.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $7.76 | Professional | 53 · Discontinued | $5.62 | $6.31 | $7.76 |
Where Texas sits
The same service costs 10.2 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· 2nd of 51
$112
AK $151KY $14.79
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.