How much rates vary
Facilitymedian $115 · 10th to 90th $49 to $389Professionalmedian $68 · 10th to 90th $12 to $191
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 $60.26 Median $77.62 Typical High $229.09 | Facility | None | $60.26 | $77.62 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $104.71 | Professional | None | $48.98 | $64.57 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $87.10 | Professional | None | $60.26 | $67.61 | $87.10 |
BCBS Texas Setting Facility Modifier None Typical Low $117.49 Median $269.15 Typical High $478.63 | Facility | None | $117.49 | $269.15 | $478.63 |
BCBS Texas Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $165.96 | Professional | None | $61.66 | $87.10 | $165.96 |
Baylor Scott & White Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $109.65 | Professional | None | $77.62 | $77.62 | $109.65 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $158.49 | Professional | None | $54.95 | $89.13 | $158.49 |
Lucent Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $257.04 | Facility | None | $60.26 | $77.62 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $109.65 | Professional | None | $48.98 | $64.57 | $109.65 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $56.23 Typical High $69.18 | Professional | None | $10.00 | $56.23 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $151.36 | Professional | None | $53.70 | $104.71 | $151.36 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $87.10 Typical High $199.53 | Facility | None | $60.26 | $87.10 | $199.53 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $147.91 | Professional | None | $54.95 | $89.13 | $147.91 |
United Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $165.96 | Professional | None | $67.61 | $93.33 | $165.96 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
8 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 52 · Reduced service Typical Low $30.20 Median $38.90 Typical High $114.82 | Facility | 52 · Reduced service | $30.20 | $38.90 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $15.49 Typical High $45.71 | Facility | 53 · Discontinued | $12.02 | $15.49 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.90 Typical High $41.69 | Professional | 52 · Reduced service | $24.55 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.30 Typical High $16.98 | Professional | 53 · Discontinued | $10.00 | $12.30 | $16.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 59 · Distinct service | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | XU · Unusual separate service | $66.07 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.90 Typical High $38.90 | Professional | 52 · Reduced service | $24.55 | $30.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.30 Typical High $15.49 | Professional | 53 · Discontinued | $10.00 | $12.30 | $15.49 |
Where Texas sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 50th of 51
$67.61
MN $174UT $61.66
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.