How much rates vary
Facilitymedian $58 · 10th to 90th $21 to $145Professionalmedian $28 · 10th to 90th $19 to $186
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 $19.05 Median $23.99 Typical High $72.44 | Facility | None | $19.05 | $23.99 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $31.62 | Professional | None | $15.49 | $20.89 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $28.84 | Professional | None | $19.05 | $22.39 | $28.84 |
BCBS Texas Setting Facility Modifier None Typical Low $34.67 Median $89.13 Typical High $158.49 | Facility | None | $34.67 | $89.13 | $158.49 |
BCBS Texas Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $43.65 | Professional | None | $19.95 | $27.54 | $43.65 |
Baylor Scott & White Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $39.81 | Professional | None | $22.39 | $25.12 | $39.81 |
Christus Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $38.90 | Professional | None | $18.20 | $26.92 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None | $151.36 | $186.21 | $186.21 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $69.18 | Facility | None | $19.05 | $22.91 | $69.18 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $36.31 | Professional | None | $15.49 | $21.38 | $36.31 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $20.89 | Professional | None | $18.20 | $19.05 | $20.89 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $52.48 | Professional | None | $22.91 | $41.69 | $52.48 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $38.02 | Facility | None | $15.49 | $24.55 | $38.02 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $38.90 | Professional | None | $18.20 | $26.92 | $38.90 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $38.02 | Professional | None | $19.50 | $25.70 | $38.02 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
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 $9.55 Median $12.02 Typical High $36.31 | Facility | 52 · Reduced service | $9.55 | $12.02 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $4.79 Typical High $14.45 | Facility | 53 · Discontinued | $3.80 | $4.79 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $10.00 Typical High $13.18 | Professional | 52 · Reduced service | $7.76 | $10.00 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.98 Typical High $5.25 | Professional | 53 · Discontinued | $3.16 | $3.98 | $5.25 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 59 · Distinct service | $20.89 | $20.89 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $10.00 Typical High $12.30 | Professional | 52 · Reduced service | $7.76 | $10.00 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.98 Typical High $4.90 | Professional | 53 · Discontinued | $3.16 | $3.98 | $4.90 |
Where Texas sits
The same service costs 2.8 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· 34th of 51
$27.54
AK $58.88FL $20.89
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.