How much rates vary
Facilitymedian $79 · 10th to 90th $79 to $166Professionalmedian $93 · 10th to 90th $71 to $126
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 $77.62 Median $102.33 Typical High $123.03 | Facility | None | $77.62 | $102.33 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $120.23 | Professional | None | $89.13 | $102.33 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $109.65 | Professional | None | $70.79 | $87.10 | $109.65 |
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 $93.33 Typical High $138.04 | Professional | None | $77.62 | $93.33 | $138.04 |
Baylor Scott & White Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Baylor Scott & White Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $97.72 | Professional | None | $66.07 | $81.28 | $97.72 |
Christus Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $120.23 | Professional | None | $57.54 | $70.79 | $120.23 |
Health Smart Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $194.98 | Facility | None | $87.10 | $120.23 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $123.03 | Professional | None | $89.13 | $102.33 | $123.03 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $104.71 | Professional | None | $58.88 | $100.00 | $104.71 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | None | $91.20 | $91.20 | $109.65 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $120.23 Typical High $169.82 | Facility | None | $79.43 | $120.23 | $169.82 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $117.49 | Professional | None | $57.54 | $70.79 | $117.49 |
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 $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
15 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 $117.49 Median $120.23 Typical High $125.89 | Facility | AF · Specialist physician | $117.49 | $120.23 | $125.89 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $89.13 Median $91.20 Typical High $93.33 | Facility | HO · Master's level | $89.13 | $91.20 | $93.33 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $100.00 Median $102.33 Typical High $107.15 | Facility | TD · Registered nurse | $100.00 | $102.33 | $107.15 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | AF · Specialist physician | $79.43 | $97.72 | $123.03 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | HO · Master's level | $89.13 | $91.20 | $100.00 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $100.00 Median $102.33 Typical High $114.82 | Professional | TD · Registered nurse | $100.00 | $102.33 | $114.82 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 59 · Distinct service | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier U9 · State-defined Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | U9 · State-defined | $104.71 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier UC · State-defined Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UC · State-defined | $95.50 | $95.50 | $95.50 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $117.49 Median $120.23 Typical High $125.89 | Facility | AF · Specialist physician | $117.49 | $120.23 | $125.89 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $89.13 Median $91.20 Typical High $93.33 | Facility | HO · Master's level | $89.13 | $91.20 | $93.33 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $100.00 Median $102.33 Typical High $107.15 | Facility | TD · Registered nurse | $100.00 | $102.33 | $107.15 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | AF · Specialist physician | $79.43 | $97.72 | $123.03 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | HO · Master's level | $89.13 | $91.20 | $100.00 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $100.00 Median $102.33 Typical High $112.20 | Professional | TD · Registered nurse | $100.00 | $102.33 | $112.20 |
Where Texas sits
The same service costs 1.7 times more in Alaska 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· 32nd of 51
$93.33
AK $132OH $75.86
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.