How much rates vary
Facilitymedian $31 · 10th to 90th $11 to $427Professionalmedian $30 · 10th to 90th $9 to $123
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 $9.33 Median $18.62 Typical High $52.48 | Facility | None | $9.33 | $18.62 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $24.55 Typical High $44.67 | Professional | None | $7.59 | $24.55 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $28.18 Typical High $45.71 | Professional | None | $9.77 | $28.18 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $13.49 Median $33.11 Typical High $61.66 | Facility | None | $13.49 | $33.11 | $61.66 |
BCBS Texas Setting Professional Modifier None Typical Low $9.55 Median $26.30 Typical High $50.12 | Professional | None | $9.55 | $26.30 | $50.12 |
Baylor Scott & White Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $56.23 | Facility | None | $11.75 | $11.75 | $56.23 |
Baylor Scott & White Setting Professional Modifier None Typical Low $10.00 Median $35.48 Typical High $47.86 | Professional | None | $10.00 | $35.48 | $47.86 |
Christus Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $54.95 | Professional | None | $13.18 | $31.62 | $54.95 |
Lucent Health Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $316.23 | Professional | None | $245.47 | $316.23 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $32.36 Median $416.87 Typical High $707.95 | Facility | None | $32.36 | $416.87 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $7.59 Median $25.12 Typical High $50.12 | Professional | None | $7.59 | $25.12 | $50.12 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $26.92 Typical High $36.31 | Professional | None | $4.90 | $26.92 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $602.56 | $1,513.56 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $46.77 | Facility | None | $9.33 | $20.42 | $46.77 |
Providence Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $53.70 | Professional | None | $13.18 | $31.62 | $53.70 |
United Setting Professional Modifier None Typical Low $10.47 Median $28.84 Typical High $52.48 | Professional | None | $10.47 | $28.84 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
6 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 Professional Modifier 52 · Reduced service Typical Low $3.80 Median $12.59 Typical High $18.62 | Professional | 52 · Reduced service | $3.80 | $12.59 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $5.01 Typical High $7.41 | Professional | 53 · Discontinued | $1.51 | $5.01 | $7.41 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $18.62 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $18.62 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | XU · Unusual separate service | $29.51 | $29.51 | $29.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $12.59 Typical High $18.62 | Professional | 52 · Reduced service | $3.80 | $12.59 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $5.01 Typical High $7.41 | Professional | 53 · Discontinued | $1.51 | $5.01 | $7.41 |
Where Texas sits
The same service costs 2.5 times more in Kansas than in Maryland. 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
$29.51
KS $54.95MD $22.39
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.