How much rates vary
Facilitymedian $339 · 10th to 90th $135 to $676Professionalmedian $123 · 10th to 90th $23 to $912
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 $93.33 Median $112.20 Typical High $147.91 | Facility | None | $93.33 | $112.20 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $147.91 | Professional | None | $93.33 | $112.20 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $354.81 Typical High $676.08 | Facility | None | $138.04 | $354.81 | $676.08 |
BCBS Texas Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $162.18 | Professional | None | $87.10 | $95.50 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $138.04 Typical High $269.15 | Facility | None | $125.89 | $138.04 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $186.21 | Professional | None | $93.33 | $141.25 | $186.21 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $239.88 | Facility | None | $93.33 | $131.83 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $151.36 | Professional | None | $93.33 | $112.20 | $151.36 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $112.20 Typical High $138.04 | Professional | None | $20.42 | $112.20 | $138.04 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $288.40 | Professional | None | $123.03 | $234.42 | $288.40 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $218.78 | Facility | None | $112.20 | $138.04 | $218.78 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $186.21 | Professional | None | $93.33 | $141.25 | $186.21 |
United Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $269.15 | Facility | None | $194.98 | $204.17 | $269.15 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $204.17 | Professional | None | $93.33 | $125.89 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
5 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 $46.77 Median $57.54 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $18.62 | $22.91 | $29.51 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 51 · Multiple procedures | $117.49 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $56.23 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $29.51 | Professional | 53 · Discontinued | $18.62 | $22.39 | $29.51 |
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· 46th of 51
$123
MN $288KY $95.50
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.