How much rates vary
Facilitymedian $10 · 10th to 90th $10 to $20Professionalmedian $12 · 10th to 90th $7 to $19
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 $13.49 Median $13.80 Typical High $17.78 | Facility | None | $13.49 | $13.80 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $19.05 | Professional | None | $12.02 | $15.14 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $14.45 | Professional | None | $9.55 | $11.75 | $14.45 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $89.13 Typical High $89.13 | Facility | None | $32.36 | $89.13 | $89.13 |
BCBS Texas Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $14.13 | Professional | None | $7.41 | $10.23 | $14.13 |
Baylor Scott & White Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $13.18 | Professional | None | $8.71 | $10.47 | $13.18 |
Christus Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $15.14 | Professional | None | $2.82 | $4.27 | $15.14 |
Health Smart Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $19.95 | Professional | None | $14.79 | $17.38 | $19.95 |
Lucent Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | None | $91.20 | $91.20 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $147.91 | Facility | None | $13.49 | $15.14 | $147.91 |
Moda Health Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $19.95 | Professional | None | $12.02 | $15.14 | $19.95 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $22.91 | Facility | None | $14.45 | $18.20 | $22.91 |
Providence Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $15.14 | Professional | None | $2.82 | $4.27 | $15.14 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
14 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 AF · Specialist physician Typical Low $15.85 Median $18.20 Typical High $19.95 | Facility | AF · Specialist physician | $15.85 | $18.20 | $19.95 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $12.02 Median $13.49 Typical High $15.14 | Facility | HO · Master's level | $12.02 | $13.49 | $15.14 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $13.49 Median $15.14 Typical High $16.98 | Facility | TD · Registered nurse | $13.49 | $15.14 | $16.98 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $3.47 Median $18.20 Typical High $19.95 | Professional | AF · Specialist physician | $3.47 | $18.20 | $19.95 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $2.63 Median $13.49 Typical High $15.14 | Professional | HO · Master's level | $2.63 | $13.49 | $15.14 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $2.95 Median $15.14 Typical High $16.98 | Professional | TD · Registered nurse | $2.95 | $15.14 | $16.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 59 · Distinct service | $12.30 | $12.30 | $12.30 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | HO · Master's level | $11.75 | $11.75 | $11.75 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $15.85 Median $18.20 Typical High $19.95 | Facility | AF · Specialist physician | $15.85 | $18.20 | $19.95 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $12.02 Median $13.49 Typical High $15.14 | Facility | HO · Master's level | $12.02 | $13.49 | $15.14 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $13.49 Median $15.14 Typical High $16.98 | Facility | TD · Registered nurse | $13.49 | $15.14 | $16.98 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $3.47 Median $18.20 Typical High $19.95 | Professional | AF · Specialist physician | $3.47 | $18.20 | $19.95 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $2.63 Median $13.49 Typical High $15.14 | Professional | HO · Master's level | $2.63 | $13.49 | $15.14 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $2.95 Median $15.14 Typical High $16.98 | Professional | TD · Registered nurse | $2.95 | $15.14 | $16.98 |
Where Texas sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 31st of 51
$12.02
AK $18.20GA $10.00
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.