How much rates vary
Facilitymedian $68 · 10th to 90th $26 to $148Professionalmedian $32 · 10th to 90th $17 to $309
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 $17.38 Median $38.02 Typical High $141.25 | Facility | None | $17.38 | $38.02 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $20.89 | Professional | None | $15.85 | $16.60 | $20.89 |
BCBS Texas Setting Facility Modifier None Typical Low $34.67 Median $100.00 Typical High $173.78 | Facility | None | $34.67 | $100.00 | $173.78 |
BCBS Texas Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $35.48 | Professional | None | $22.91 | $32.36 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $57.54 Typical High $97.72 | Facility | None | $26.30 | $57.54 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $77.62 | Professional | None | $19.95 | $23.44 | $77.62 |
Health Smart Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $19.95 Median $31.62 Typical High $131.83 | Facility | None | $19.95 | $31.62 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $26.30 | Professional | None | $15.85 | $17.38 | $26.30 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | None | $21.88 | $21.88 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $32.36 Typical High $57.54 | Professional | None | $18.20 | $32.36 | $57.54 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $64.57 Typical High $107.15 | Facility | None | $20.89 | $64.57 | $107.15 |
Providence Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $75.86 | Professional | None | $19.95 | $24.55 | $75.86 |
United Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $58.88 | Professional | None | $15.85 | $22.39 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $26.30 | Professional | None | $12.88 | $12.88 | $26.30 |
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 $8.71 Median $19.05 Typical High $70.79 | Facility | 52 · Reduced service | $8.71 | $19.05 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $7.59 Typical High $28.18 | Facility | 53 · Discontinued | $3.55 | $7.59 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.47 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $4.17 | Professional | 53 · Discontinued | $3.16 | $3.31 | $4.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $19.05 Typical High $70.79 | Facility | 52 · Reduced service | $10.00 | $19.05 | $70.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.59 Typical High $28.18 | Facility | 53 · Discontinued | $3.98 | $7.59 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.47 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $4.17 | Professional | 53 · Discontinued | $3.16 | $3.31 | $4.17 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 21st of 51
$35.48
AK $79.43FL $20.89
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.