How much rates vary
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 $35.48 Median $41.69 Typical High $47.86 | Facility | None | $35.48 | $41.69 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $47.86 | Professional | None | $35.48 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $17.78 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.51 Typical High $9.55 | Professional | 53 · Discontinued | $7.08 | $8.51 | $9.55 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $407.38 Typical High $741.31 | Facility | None | $165.96 | $407.38 | $741.31 |
BCBS Texas Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | None | $36.31 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $281.84 | Facility | None | $21.38 | $38.90 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $48.98 | Professional | None | $44.67 | $45.71 | $48.98 |
Lucent Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $426.58 | Professional | None | $295.12 | $295.12 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $26.92 Median $45.71 Typical High $60.26 | Facility | None | $26.92 | $45.71 | $60.26 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $47.86 | Professional | None | $35.48 | $41.69 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $17.78 | $20.89 | $23.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.51 Typical High $9.55 | Professional | 53 · Discontinued | $7.08 | $8.51 | $9.55 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $28.18 Typical High $35.48 | Professional | None | $5.13 | $28.18 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $95.50 Typical High $177.83 | Professional | None | $48.98 | $95.50 | $177.83 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $46.77 Typical High $158.49 | Facility | None | $22.91 | $46.77 | $158.49 |
Providence Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $48.98 | Professional | None | $44.67 | $45.71 | $48.98 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $42.66 | Professional | None | $19.05 | $33.88 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | None | $47.86 | $48.98 | $48.98 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 59 · Distinct service | $46.77 | $46.77 | $46.77 |
Where Texas sits
The same service costs 2.9 times more in Alaska 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· 43rd of 51
$40.74
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.