How much rates vary
Facilitymedian $123 · 10th to 90th $44 to $245Professionalmedian $52 · 10th to 90th $5 to $398
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 $28.18 Median $61.66 Typical High $229.09 | Facility | None | $28.18 | $61.66 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $51.29 | Professional | None | $25.70 | $28.18 | $51.29 |
BCBS Texas Setting Facility Modifier None Typical Low $58.88 Median $154.88 Typical High $281.84 | Facility | None | $58.88 | $154.88 | $281.84 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $23.44 Typical High $57.54 | Professional | None | $5.01 | $23.44 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $89.13 Typical High $144.54 | Facility | None | $40.74 | $89.13 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $79.43 | Professional | None | $21.38 | $26.92 | $79.43 |
Health Smart Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Lucent Health Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $398.11 | Professional | None | $316.23 | $398.11 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $229.09 | Facility | None | $31.62 | $51.29 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $43.65 | Professional | None | $25.70 | $28.18 | $43.65 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | None | $35.48 | $35.48 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $91.20 | Professional | None | $41.69 | $45.71 | $91.20 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $102.33 Typical High $173.78 | Facility | None | $33.88 | $102.33 | $173.78 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $77.62 | Professional | None | $21.38 | $32.36 | $77.62 |
United Setting Facility Modifier None Typical Low $15.14 Median $17.78 Typical High $42.66 | Facility | None | $15.14 | $17.78 | $42.66 |
United Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $85.11 | Professional | None | $25.70 | $29.51 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | None | $19.50 | $19.50 | $21.88 |
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 $14.13 Median $30.20 Typical High $114.82 | Facility | 52 · Reduced service | $14.13 | $30.20 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $12.30 Typical High $45.71 | Facility | 53 · Discontinued | $5.62 | $12.30 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.49 Typical High $19.95 | Professional | 52 · Reduced service | $12.59 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $7.94 | Professional | 53 · Discontinued | $5.13 | $5.37 | $7.94 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $30.20 Typical High $114.82 | Facility | 52 · Reduced service | $15.85 | $30.20 | $114.82 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $12.30 Typical High $45.71 | Facility | 53 · Discontinued | $6.46 | $12.30 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.18 Typical High $16.98 | Professional | 52 · Reduced service | $12.59 | $13.18 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.25 Typical High $6.76 | Professional | 53 · Discontinued | $5.13 | $5.25 | $6.76 |
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· 5th of 51
$79.43
AK $95.50NJ $29.51
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.