How much rates vary
Facilitymedian $74 · 10th to 90th $28 to $195Professionalmedian $15 · 10th to 90th $10 to $102
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 $10.96 Median $13.49 Typical High $42.66 | Facility | None | $10.96 | $13.49 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $16.98 | Professional | None | $9.33 | $11.75 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $13.49 | Professional | None | $9.33 | $10.96 | $13.49 |
BCBS Texas Setting Facility Modifier None Typical Low $45.71 Median $114.82 Typical High $204.17 | Facility | None | $45.71 | $114.82 | $204.17 |
BCBS Texas Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $22.39 | Professional | None | $10.23 | $14.13 | $22.39 |
Baylor Scott & White Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $19.05 | Professional | None | $11.22 | $12.88 | $19.05 |
Christus Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $56.23 | Facility | None | $32.36 | $37.15 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $22.39 | Professional | None | $9.12 | $14.79 | $22.39 |
Lucent Health Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | None | $91.20 | $102.33 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $74.13 Typical High $776.25 | Facility | None | $11.22 | $74.13 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $19.95 | Professional | None | $9.33 | $12.02 | $19.95 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $10.72 | Professional | None | $9.33 | $9.77 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $11.22 Median $20.89 Typical High $25.70 | Professional | None | $11.22 | $20.89 | $25.70 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $37.15 | Facility | None | $10.96 | $16.22 | $37.15 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $21.88 | Professional | None | $9.12 | $14.79 | $21.88 |
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 $12.30 Median $16.22 Typical High $23.44 | Professional | None | $12.30 | $16.22 | $23.44 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
7 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 $5.62 Median $7.41 Typical High $21.38 | Facility | 52 · Reduced service | $5.62 | $7.41 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $2.95 Typical High $8.71 | Facility | 53 · Discontinued | $2.29 | $2.95 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.75 Typical High $7.59 | Professional | 52 · Reduced service | $4.68 | $5.75 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.29 Typical High $3.02 | Professional | 53 · Discontinued | $1.86 | $2.29 | $3.02 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 59 · Distinct service | $10.23 | $10.23 | $10.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.62 Typical High $7.41 | Professional | 52 · Reduced service | $4.68 | $5.62 | $7.41 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.29 Typical High $2.95 | Professional | 53 · Discontinued | $1.86 | $2.29 | $2.95 |
Where Texas sits
The same service costs 3.0 times more in Minnesota 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· 33rd of 51
$16.22
MN $33.88KY $11.22
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.