How much rates vary
Facilitymedian $44 · 10th to 90th $15 to $89Professionalmedian $25 · 10th to 90th $5 to $138
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 $10.72 Median $22.91 Typical High $87.10 | Facility | None | $10.72 | $22.91 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $12.88 | Professional | None | $9.55 | $10.47 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | None | $9.33 | $9.33 | $10.96 |
BCBS Texas Setting Facility Modifier None Typical Low $20.89 Median $52.48 Typical High $91.20 | Facility | None | $20.89 | $52.48 | $91.20 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $24.55 | Professional | None | $5.01 | $10.00 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $33.88 Typical High $53.70 | Facility | None | $12.30 | $33.88 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $26.92 | Professional | None | $7.24 | $11.22 | $26.92 |
Health Smart Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | None | $16.22 | $16.98 | $16.98 |
Lucent Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | None | $93.33 | $93.33 | $138.04 |
Moda Health Setting Facility Modifier None Typical Low $12.02 Median $19.05 Typical High $77.62 | Facility | None | $12.02 | $19.05 | $77.62 |
Moda Health Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $17.78 | Professional | None | $9.55 | $10.47 | $17.78 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | None | $15.14 | $15.14 | $17.38 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $39.81 | Professional | None | $18.20 | $21.88 | $39.81 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $39.81 Typical High $57.54 | Facility | None | $12.02 | $39.81 | $57.54 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $25.70 | Professional | None | $7.24 | $12.02 | $25.70 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.76 Typical High $18.62 | Facility | None | $6.61 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $30.90 | Professional | None | $8.91 | $12.88 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $18.62 | Professional | None | $6.03 | $6.03 | $18.62 |
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 $5.37 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $5.37 | $11.48 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $4.57 Typical High $17.38 | Facility | 53 · Discontinued | $2.14 | $4.57 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.01 Typical High $6.31 | Professional | 52 · Reduced service | $4.79 | $5.01 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.00 Typical High $2.51 | Professional | 53 · Discontinued | $1.91 | $2.00 | $2.51 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.03 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $6.03 | $11.48 | $42.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $4.57 Typical High $17.38 | Facility | 53 · Discontinued | $2.40 | $4.57 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $5.01 Typical High $6.31 | Professional | 52 · Reduced service | $4.47 | $5.01 | $6.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.00 Typical High $2.57 | Professional | 53 · Discontinued | $1.78 | $2.00 | $2.57 |
Where Texas sits
The same service costs 4.9 times more in Alaska than in New Jersey. 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· 3rd of 51
$38.02
AK $51.29NJ $10.47
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.