How much rates vary
Facilitymedian $71 · 10th to 90th $32 to $186Professionalmedian $32 · 10th to 90th $13 to $331
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 $19.05 Median $21.88 Typical High $27.54 | Facility | None | $19.05 | $21.88 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $34.67 | Professional | None | $19.95 | $21.38 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | None | $16.22 | $16.22 | $16.60 |
BCBS Texas Setting Facility Modifier None Typical Low $45.71 Median $120.23 Typical High $223.87 | Facility | None | $45.71 | $120.23 | $223.87 |
BCBS Texas Setting Professional Modifier None Typical Low $18.62 Median $44.67 Typical High $45.71 | Professional | None | $18.62 | $44.67 | $45.71 |
Christus Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $61.66 Typical High $89.13 | Facility | None | $22.91 | $61.66 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $54.95 | Professional | None | $13.80 | $16.60 | $54.95 |
Health Smart Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $33.88 | Professional | None | $29.51 | $33.88 | $33.88 |
Lucent Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $51.29 Typical High $380.19 | Facility | None | $21.38 | $51.29 | $380.19 |
Moda Health Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $46.77 | Professional | None | $19.95 | $21.38 | $46.77 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $28.84 Typical High $38.02 | Professional | None | $5.37 | $28.84 | $38.02 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $72.44 | Professional | None | $32.36 | $58.88 | $72.44 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $64.57 Typical High $102.33 | Facility | None | $22.91 | $64.57 | $102.33 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $60.26 | Professional | None | $13.80 | $16.60 | $60.26 |
United Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $64.57 | Professional | None | $17.38 | $20.89 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.60 | Professional | None | $13.49 | $13.49 | $16.60 |
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 $10.96 Median $24.55 Typical High $93.33 | Facility | 52 · Reduced service | $10.96 | $24.55 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $9.77 Typical High $37.15 | Facility | 53 · Discontinued | $4.37 | $9.77 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.23 Typical High $15.49 | Professional | 52 · Reduced service | $10.00 | $10.23 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $6.17 | Professional | 53 · Discontinued | $3.98 | $4.07 | $6.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $24.55 Typical High $93.33 | Facility | 52 · Reduced service | $12.30 | $24.55 | $93.33 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $9.77 Typical High $37.15 | Facility | 53 · Discontinued | $4.90 | $9.77 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $10.00 | $10.23 | $13.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $5.25 | Professional | 53 · Discontinued | $3.98 | $4.07 | $5.25 |
Where Texas sits
The same service costs 6.0 times more in Alaska than in Nevada. 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· 19th of 51
$38.90
AK $135NV $22.39
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.