How much rates vary
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 $34.67 Median $41.69 Typical High $46.77 | Facility | None | $34.67 | $41.69 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $63.10 | Professional | None | $34.67 | $42.66 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $45.71 | Professional | None | $38.90 | $45.71 | $45.71 |
BCBS Texas Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $234.42 | Facility | None | $100.00 | $162.18 | $234.42 |
BCBS Texas Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $107.15 | Professional | None | $39.81 | $56.23 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $89.13 | Professional | None | $36.31 | $53.70 | $89.13 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $89.13 | Facility | None | $41.69 | $50.12 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $64.57 | Professional | None | $34.67 | $42.66 | $64.57 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $28.18 Typical High $35.48 | Professional | None | $5.01 | $28.18 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $102.33 | Professional | None | $30.20 | $58.88 | $102.33 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $89.13 | Facility | None | $41.69 | $60.26 | $89.13 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $87.10 | Professional | None | $36.31 | $53.70 | $87.10 |
United Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $85.11 | Professional | None | $38.02 | $52.48 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
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 $17.38 Median $20.89 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.51 Typical High $10.72 | Professional | 53 · Discontinued | $7.08 | $8.51 | $10.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 59 · Distinct service | $44.67 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $20.89 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $20.89 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $10.72 | Professional | 53 · Discontinued | $7.08 | $8.32 | $10.72 |
Where Texas sits
The same service costs 3.5 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
$38.90
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.