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 $23.44 Median $27.54 Typical High $29.51 | Facility | None | $23.44 | $27.54 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $33.11 | Professional | None | $23.44 | $27.54 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
BCBS Texas Setting Facility Modifier None Typical Low $302.00 Median $741.31 Typical High $1,318.26 | Facility | None | $302.00 | $741.31 | $1,318.26 |
BCBS Texas Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $52.48 | Professional | None | $28.18 | $38.02 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $363.08 | Facility | None | $23.44 | $45.71 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $41.69 | Professional | None | $16.98 | $29.51 | $41.69 |
Lucent Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $309.03 | Professional | None | $194.98 | $194.98 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $31.62 Typical High $39.81 | Facility | None | $23.44 | $31.62 | $39.81 |
Moda Health Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $35.48 | Professional | None | $23.44 | $27.54 | $35.48 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $26.92 Typical High $35.48 | Professional | None | $4.79 | $26.92 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $63.10 Typical High $77.62 | Professional | None | $34.67 | $63.10 | $77.62 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $33.88 Typical High $269.15 | Facility | None | $23.44 | $33.88 | $269.15 |
Providence Setting Professional Modifier None Typical Low $19.50 Median $43.65 Typical High $81.28 | Professional | None | $19.50 | $43.65 | $81.28 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $446.68 | Facility | None | $323.59 | $338.84 | $446.68 |
United Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $44.67 | Professional | None | $23.44 | $28.84 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
4 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 $11.75 Median $13.80 Typical High $17.78 | Professional | 52 · Reduced service | $11.75 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $5.62 | $7.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.80 Typical High $17.78 | Professional | 52 · Reduced service | $11.75 | $13.80 | $17.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $5.62 | $7.08 |
Where Texas sits
The same service costs 3.6 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· 39th of 51
$30.20
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.