How much rates vary
Facilitymedian $66 · 10th to 90th $63 to $204Professionalmedian $63 · 10th to 90th $43 to $100
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 $54.95 Median $64.57 Typical High $79.43 | Facility | None | $54.95 | $64.57 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $79.43 | Professional | None | $56.23 | $64.57 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $85.11 | Professional | None | $42.66 | $58.88 | $85.11 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $1,122.02 Typical High $1,122.02 | Facility | None | $398.11 | $1,122.02 | $1,122.02 |
BCBS Texas Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $81.28 | Professional | None | $41.69 | $57.54 | $81.28 |
Baylor Scott & White Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $309.03 | Facility | None | $177.83 | $177.83 | $309.03 |
Baylor Scott & White Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | None | $51.29 | $60.26 | $74.13 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $79.43 | Professional | None | $34.67 | $48.98 | $79.43 |
Health Smart Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None | $81.28 | $95.50 | $107.15 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $707.95 | Professional | None | $489.78 | $489.78 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $257.04 | Facility | None | $57.54 | $104.71 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $79.43 | Professional | None | $56.23 | $64.57 | $79.43 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $97.72 Typical High $109.65 | Professional | None | $17.38 | $97.72 | $109.65 |
Oscar Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $223.87 | Facility | None | $199.53 | $199.53 | $223.87 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $75.86 Typical High $104.71 | Facility | None | $34.67 | $75.86 | $104.71 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $77.62 | Professional | None | $34.67 | $47.86 | $77.62 |
United Setting Facility Modifier None Typical Low $269.15 Median $281.84 Typical High $371.54 | Facility | None | $269.15 | $281.84 | $371.54 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
20 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 $72.44 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $72.44 | $75.86 | $79.43 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $57.54 Typical High $60.26 | Facility | HO · Master's level | $54.95 | $57.54 | $60.26 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $54.95 Median $72.44 Typical High $79.43 | Professional | AF · Specialist physician | $54.95 | $72.44 | $79.43 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | HO · Master's level | $54.95 | $60.26 | $64.57 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $61.66 Median $67.61 Typical High $74.13 | Professional | TD · Registered nurse | $61.66 | $67.61 | $74.13 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 93 · Audio-only telehealth | $58.88 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier FQ · Audio-only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | FQ · Audio-only | $58.88 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | GC · Resident with teaching physician | $47.86 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier HA · Child/adolescent program Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | HA · Child/adolescent program | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | HO · Master's level | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | U1 · State-defined | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier U9 · State-defined Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | U9 · State-defined | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier UC · State-defined Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UC · State-defined | $63.10 | $63.10 | $63.10 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $72.44 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $72.44 | $75.86 | $79.43 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $57.54 Typical High $60.26 | Facility | HO · Master's level | $54.95 | $57.54 | $60.26 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $61.66 | $64.57 | $67.61 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $54.95 Median $72.44 Typical High $79.43 | Professional | AF · Specialist physician | $54.95 | $72.44 | $79.43 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $57.54 Typical High $63.10 | Professional | HO · Master's level | $54.95 | $57.54 | $63.10 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $61.66 Median $66.07 Typical High $70.79 | Professional | TD · Registered nurse | $61.66 | $66.07 | $70.79 |
Where Texas sits
The same service costs 1.9 times more in North Dakota than in Kentucky. 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· 29th of 51
$63.10
ND $100KY $53.70
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.