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 $11.75 Median $14.13 Typical High $15.14 | Facility | None | $11.75 | $14.13 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $15.49 | Professional | None | $11.48 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.08 Typical High $7.94 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.82 Typical High $3.16 | Professional | 53 · Discontinued | $2.29 | $2.82 | $3.16 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $100.00 Typical High $177.83 | Facility | None | $43.65 | $100.00 | $177.83 |
BCBS Texas Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $24.55 | Professional | None | $10.96 | $12.30 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $30.20 Typical High $63.10 | Facility | None | $15.85 | $30.20 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | None | $14.13 | $14.13 | $16.60 |
Lucent Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | None | $100.00 | $100.00 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $16.98 Typical High $97.72 | Facility | None | $12.59 | $16.98 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $15.49 | Professional | None | $11.48 | $13.80 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.08 Typical High $7.94 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.82 Typical High $3.16 | Professional | 53 · Discontinued | $2.29 | $2.82 | $3.16 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $12.59 | Professional | None | $10.96 | $12.02 | $12.59 |
Oscar Health Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $54.95 | Professional | None | $13.80 | $28.18 | $54.95 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $34.67 | Facility | None | $12.59 | $19.95 | $34.67 |
Providence Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | None | $14.13 | $14.13 | $16.60 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $21.88 | Professional | None | $11.75 | $13.49 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
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 51 · Multiple procedures Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 51 · Multiple procedures | $10.72 | $10.72 | $10.72 |
Where Texas sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 48th of 51
$14.13
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.