How much rates vary
Facilitymedian $43 · 10th to 90th $14 to $100Professionalmedian $120 · 10th to 90th $12 to $182
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 $15.85 Median $34.67 Typical High $128.82 | Facility | None | $15.85 | $34.67 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $19.05 | Professional | None | $14.45 | $15.14 | $19.05 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $13.18 | Professional | None | $5.01 | $5.50 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $43.65 Typical High $66.07 | Facility | None | $12.88 | $43.65 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $15.14 Typical High $38.02 | Professional | None | $7.24 | $15.14 | $38.02 |
Health Smart Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Lucent Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | None | $120.23 | $120.23 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $15.85 Median $27.54 Typical High $120.23 | Facility | None | $15.85 | $27.54 | $120.23 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $19.05 | Professional | None | $13.49 | $15.85 | $19.05 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | None | $20.42 | $20.42 | $23.44 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $51.29 | Professional | None | $23.44 | $28.18 | $51.29 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $43.65 Typical High $74.13 | Facility | None | $15.14 | $43.65 | $74.13 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $16.22 Typical High $37.15 | Professional | None | $7.24 | $16.22 | $37.15 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.00 Typical High $23.99 | Facility | None | $8.71 | $10.00 | $23.99 |
United Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $47.86 | Professional | None | $8.91 | $19.05 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $23.99 | Professional | None | $9.55 | $9.55 | $23.99 |
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 $7.94 Median $17.38 Typical High $64.57 | Facility | 52 · Reduced service | $7.94 | $17.38 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $6.92 Typical High $25.70 | Facility | 53 · Discontinued | $3.16 | $6.92 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $9.55 | Professional | 52 · Reduced service | $7.24 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.80 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.80 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.12 Median $17.38 Typical High $64.57 | Facility | 52 · Reduced service | $9.12 | $17.38 | $64.57 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $6.92 Typical High $25.70 | Facility | 53 · Discontinued | $3.63 | $6.92 | $25.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.59 Typical High $9.12 | Professional | 52 · Reduced service | $6.76 | $7.59 | $9.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $2.69 | $3.02 | $3.63 |
Where Texas sits
The same service costs 8.9 times more in Texas 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· 1st of 51
$120
TX $120KY $13.49
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.