How much rates vary
Facilitymedian $66 · 10th to 90th $24 to $148Professionalmedian $28 · 10th to 90th $5 to $3,236
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 $16.60 Median $31.62 Typical High $134.90 | Facility | None | $16.60 | $31.62 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $36.31 | Professional | None | $14.79 | $18.62 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $18.20 | Professional | None | $11.22 | $13.18 | $18.20 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $97.72 Typical High $158.49 | Facility | None | $39.81 | $97.72 | $158.49 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $14.79 Typical High $36.31 | Professional | None | $5.01 | $14.79 | $36.31 |
Baylor Scott & White Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $95.50 | Facility | None | $24.55 | $26.92 | $95.50 |
Christus Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $109.65 | Facility | None | $29.51 | $57.54 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $60.26 | Professional | None | $15.14 | $21.88 | $60.26 |
Health Smart Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $46.77 | Professional | None | $22.39 | $33.11 | $46.77 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $89.13 Typical High $128.82 | Facility | None | $20.42 | $89.13 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $37.15 | Professional | None | $15.85 | $20.42 | $37.15 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | None | $22.39 | $22.39 | $25.70 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $56.23 | Professional | None | $25.70 | $30.90 | $56.23 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $64.57 Typical High $123.03 | Facility | None | $21.38 | $64.57 | $123.03 |
Providence Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $54.95 | Professional | None | $15.14 | $26.92 | $54.95 |
United Setting Facility Modifier None Typical Low $9.55 Median $11.22 Typical High $26.92 | Facility | None | $9.55 | $11.22 | $26.92 |
United Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $60.26 | Professional | None | $15.85 | $22.39 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $26.92 | Professional | None | $15.14 | $15.14 | $26.92 |
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 $8.91 Median $19.05 Typical High $72.44 | Facility | 52 · Reduced service | $8.91 | $19.05 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $7.59 Typical High $28.84 | Facility | 53 · Discontinued | $3.55 | $7.59 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.39 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.39 | $4.27 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $19.05 Typical High $72.44 | Facility | 52 · Reduced service | $10.00 | $19.05 | $72.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.59 Typical High $28.84 | Facility | 53 · Discontinued | $3.98 | $7.59 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.39 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.39 | $4.27 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 22nd of 51
$36.31
AK $95.50MD $21.38
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.