How much rates vary
Facilitymedian $186 · 10th to 90th $24 to $525Professionalmedian $32 · 10th to 90th $24 to $214
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 $25.70 Median $30.90 Typical High $34.67 | Facility | None | $25.70 | $30.90 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $34.67 | Professional | None | $25.70 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $12.88 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $5.13 | $6.17 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | None | $30.20 | $35.48 | $46.77 |
BCBS Texas Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $588.84 | Facility | None | $120.23 | $316.23 | $588.84 |
BCBS Texas Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | None | $28.84 | $32.36 | $32.36 |
Baylor Scott & White Setting Facility Modifier None Typical Low $30.90 Median $131.83 Typical High $263.03 | Facility | None | $30.90 | $131.83 | $263.03 |
Baylor Scott & White Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $64.57 | Professional | None | $38.90 | $43.65 | $64.57 |
Christus Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $35.48 Typical High $257.04 | Facility | None | $21.38 | $35.48 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $38.02 | Professional | None | $34.67 | $36.31 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | None | $213.80 | $213.80 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $85.11 Typical High $323.59 | Facility | None | $30.90 | $85.11 | $323.59 |
Moda Health Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $36.31 | Professional | None | $25.70 | $30.90 | $36.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $12.88 | $15.49 | $17.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $5.13 | $6.17 | $7.08 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $30.20 Typical High $36.31 | Professional | None | $5.13 | $30.20 | $36.31 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $147.91 | Professional | None | $39.81 | $77.62 | $147.91 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $38.02 Typical High $134.90 | Facility | None | $23.99 | $38.02 | $134.90 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | None | $36.31 | $36.31 | $38.02 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $32.36 | Professional | None | $19.50 | $23.99 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | None | $39.81 | $40.74 | $40.74 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $35.48 Typical High $38.02 | Professional | 59 · Distinct service | $28.84 | $35.48 | $38.02 |
Where Texas sits
The same service costs 2.9 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· 36th of 51
$32.36
ND $69.18KY $23.99
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.