How much rates vary
Facilitymedian $74 · 10th to 90th $29 to $138Professionalmedian $29 · 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 $18.62 Median $22.39 Typical High $23.99 | Facility | None | $18.62 | $22.39 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $33.11 | Professional | None | $18.62 | $22.39 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | None | $21.88 | $21.88 | $24.55 |
BCBS Texas Setting Facility Modifier None Typical Low $33.88 Median $77.62 Typical High $138.04 | Facility | None | $33.88 | $77.62 | $138.04 |
BCBS Texas Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $38.90 | Professional | None | $20.89 | $28.18 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $38.90 | Professional | None | $20.42 | $26.92 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None | $186.21 | $186.21 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $25.70 Typical High $38.90 | Facility | None | $18.62 | $25.70 | $38.90 |
Moda Health Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $30.20 | Professional | None | $18.62 | $22.39 | $30.20 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $28.84 Typical High $37.15 | Professional | None | $5.25 | $28.84 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $45.71 Typical High $57.54 | Professional | None | $25.70 | $45.71 | $57.54 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $38.90 | Facility | None | $22.39 | $28.84 | $38.90 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $38.90 | Professional | None | $19.05 | $26.92 | $38.90 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Facility | None | $19.95 | $19.95 | $26.92 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $38.02 | Professional | None | $19.50 | $25.12 | $38.02 |
Wellpoint Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
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 $9.33 Median $11.22 Typical High $14.45 | Professional | 52 · Reduced service | $9.33 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.47 Typical High $5.89 | Professional | 53 · Discontinued | $3.72 | $4.47 | $5.89 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 59 · Distinct service | $21.88 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $11.22 Typical High $14.45 | Professional | 52 · Reduced service | $9.33 | $11.22 | $14.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.47 Typical High $5.89 | Professional | 53 · Discontinued | $3.72 | $4.47 | $5.89 |
Where Texas sits
The same service costs 2.6 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
$28.84
AK $56.23FL $21.38
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.