How much rates vary
Facilitymedian $36 · 10th to 90th $13 to $81Professionalmedian $17 · 10th to 90th $5 to $603
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 $8.71 Median $18.62 Typical High $70.79 | Facility | None | $8.71 | $18.62 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $12.30 | Professional | None | $7.76 | $8.32 | $12.30 |
BCBS Texas Setting Facility Modifier None Typical Low $17.78 Median $45.71 Typical High $89.13 | Facility | None | $17.78 | $45.71 | $89.13 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $17.78 | Professional | None | $5.01 | $7.24 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $27.54 Typical High $41.69 | Facility | None | $11.75 | $27.54 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $22.91 | Professional | None | $6.46 | $8.32 | $22.91 |
Health Smart Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Lucent Health Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $602.56 | Professional | None | $389.05 | $602.56 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $9.77 Median $15.85 Typical High $70.79 | Facility | None | $9.77 | $15.85 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $13.18 | Professional | None | $7.76 | $8.32 | $13.18 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | None | $10.96 | $10.96 | $12.59 |
Oscar Health Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $27.54 | Professional | None | $12.59 | $14.13 | $27.54 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $30.20 Typical High $51.29 | Facility | None | $10.47 | $30.20 | $51.29 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $22.91 | Professional | None | $6.46 | $10.23 | $22.91 |
United Setting Facility Modifier None Typical Low $4.68 Median $5.50 Typical High $13.18 | Facility | None | $4.68 | $5.50 | $13.18 |
United Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $26.30 | Professional | None | $7.76 | $8.51 | $26.30 |
Wellpoint Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | None | $5.75 | $5.75 | $6.76 |
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 $4.37 Median $9.33 Typical High $35.48 | Facility | 52 · Reduced service | $4.37 | $9.33 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $3.80 Typical High $14.13 | Facility | 53 · Discontinued | $1.74 | $3.80 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $4.07 Typical High $6.17 | Professional | 52 · Reduced service | $3.89 | $4.07 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.66 Typical High $2.45 | Professional | 53 · Discontinued | $1.58 | $1.66 | $2.45 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.90 Median $9.33 Typical High $35.48 | Facility | 52 · Reduced service | $4.90 | $9.33 | $35.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $3.80 Typical High $14.13 | Facility | 53 · Discontinued | $2.00 | $3.80 | $14.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $4.07 Typical High $5.25 | Professional | 52 · Reduced service | $3.89 | $4.07 | $5.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $2.09 | Professional | 53 · Discontinued | $1.58 | $1.62 | $2.09 |
Where Texas sits
The same service costs 3.2 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
$24.55
AK $29.51NJ $9.12
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.