How much rates vary
Facilitymedian $129 · 10th to 90th $129 to $178Professionalmedian $135 · 10th to 90th $89 to $219
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 $114.82 Median $151.36 Typical High $177.83 | Facility | None | $114.82 | $151.36 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $177.83 | Professional | None | $131.83 | $151.36 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $134.90 | Professional | None | $89.13 | $128.82 | $134.90 |
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 $77.62 Median $109.65 Typical High $147.91 | Professional | None | $77.62 | $109.65 | $147.91 |
Christus Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | None | $100.00 | $223.87 | $223.87 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,318.26 | Professional | None | $933.25 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $223.87 | Facility | None | $114.82 | $177.83 | $223.87 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $177.83 | Professional | None | $131.83 | $151.36 | $177.83 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $165.96 Typical High $177.83 | Professional | None | $28.84 | $165.96 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | None | $107.15 | $107.15 | $141.25 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $177.83 Typical High $251.19 | Facility | None | $69.18 | $177.83 | $251.19 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $223.87 | Professional | None | $83.18 | $177.83 | $223.87 |
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 $107.15 Median $107.15 Typical High $144.54 | Professional | None | $107.15 | $107.15 | $144.54 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
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 $177.83 Median $177.83 Typical High $181.97 | Facility | AF · Specialist physician | $177.83 | $177.83 | $181.97 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $131.83 Median $131.83 Typical High $138.04 | Facility | HO · Master's level | $131.83 | $131.83 | $138.04 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $151.36 Median $151.36 Typical High $154.88 | Facility | TD · Registered nurse | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | AF · Specialist physician | $151.36 | $177.83 | $177.83 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $131.83 Typical High $134.90 | Professional | HO · Master's level | $75.86 | $131.83 | $134.90 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $151.36 Typical High $151.36 | Professional | TD · Registered nurse | $75.86 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 51 · Multiple procedures | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | U1 · State-defined | $117.49 | $117.49 | $117.49 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $177.83 Median $177.83 Typical High $181.97 | Facility | AF · Specialist physician | $177.83 | $177.83 | $181.97 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $131.83 Median $131.83 Typical High $138.04 | Facility | HO · Master's level | $131.83 | $131.83 | $138.04 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $151.36 Median $151.36 Typical High $154.88 | Facility | TD · Registered nurse | $151.36 | $151.36 | $154.88 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $151.36 Median $177.83 Typical High $181.97 | Professional | AF · Specialist physician | $151.36 | $177.83 | $181.97 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $131.83 Typical High $134.90 | Professional | HO · Master's level | $75.86 | $131.83 | $134.90 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $151.36 Typical High $154.88 | Professional | TD · Registered nurse | $75.86 | $151.36 | $154.88 |
Where Texas sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 24th of 51
$135
ND $186OH $107
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.