How much rates vary
Facilitymedian $102 · 10th to 90th $85 to $170Professionalmedian $93 · 10th to 90th $60 to $120
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 $85.11 Median $89.13 Typical High $117.49 | Facility | None | $85.11 | $89.13 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $117.49 | Professional | None | $85.11 | $100.00 | $117.49 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $645.65 Typical High $645.65 | Facility | None | $229.09 | $645.65 | $645.65 |
BCBS Texas Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $91.20 | Professional | None | $48.98 | $60.26 | $91.20 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $120.23 | Professional | None | $60.26 | $72.44 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $851.14 | Professional | None | $660.69 | $660.69 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $128.82 | Facility | None | $85.11 | $102.33 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $117.49 | Professional | None | $85.11 | $100.00 | $117.49 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $97.72 Typical High $109.65 | Professional | None | $17.38 | $97.72 | $109.65 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $162.18 | Facility | None | $79.43 | $117.49 | $162.18 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $120.23 | Professional | None | $60.26 | $69.18 | $120.23 |
United Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $208.93 | Facility | None | $154.88 | $158.49 | $208.93 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $154.88 | Professional | None | $75.86 | $100.00 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
12 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 $114.82 Median $117.49 Typical High $120.23 | Facility | AF · Specialist physician | $114.82 | $117.49 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $89.13 Typical High $91.20 | Facility | HO · Master's level | $85.11 | $89.13 | $91.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $97.72 Median $100.00 Typical High $102.33 | Facility | TD · Registered nurse | $97.72 | $100.00 | $102.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $89.13 Median $117.49 Typical High $120.23 | Professional | AF · Specialist physician | $89.13 | $117.49 | $120.23 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | HO · Master's level | $85.11 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $97.72 Median $100.00 Typical High $102.33 | Professional | TD · Registered nurse | $97.72 | $100.00 | $102.33 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $114.82 Median $117.49 Typical High $120.23 | Facility | AF · Specialist physician | $114.82 | $117.49 | $120.23 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $89.13 Typical High $91.20 | Facility | HO · Master's level | $85.11 | $89.13 | $91.20 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $97.72 Median $100.00 Typical High $102.33 | Facility | TD · Registered nurse | $97.72 | $100.00 | $102.33 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $89.13 Median $117.49 Typical High $120.23 | Professional | AF · Specialist physician | $89.13 | $117.49 | $120.23 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | HO · Master's level | $85.11 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $97.72 Median $100.00 Typical High $102.33 | Professional | TD · Registered nurse | $97.72 | $100.00 | $102.33 |
Where Texas sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 22nd of 51
$93.33
HI $170AZ $74.13
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.