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 $21.38 Median $23.44 Typical High $50.12 | Facility | None | $21.38 | $23.44 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $60.26 | Professional | None | $19.05 | $39.81 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $45.71 Median $102.33 Typical High $177.83 | Facility | None | $45.71 | $102.33 | $177.83 |
BCBS Texas Setting Professional Modifier None Typical Low $20.89 Median $45.71 Typical High $85.11 | Professional | None | $20.89 | $45.71 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $41.69 Typical High $74.13 | Professional | None | $22.39 | $41.69 | $74.13 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $467.74 | Professional | None | $323.59 | $467.74 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $67.61 | Facility | None | $19.95 | $39.81 | $67.61 |
Moda Health Setting Professional Modifier None Typical Low $19.05 Median $39.81 Typical High $60.26 | Professional | None | $19.05 | $39.81 | $60.26 |
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 $22.39 Median $52.48 Typical High $120.23 | Professional | None | $22.39 | $52.48 | $120.23 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $72.44 | Facility | None | $19.95 | $39.81 | $72.44 |
Providence Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $74.13 | Professional | None | $21.88 | $41.69 | $74.13 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $67.61 | Professional | None | $19.50 | $38.90 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $9.55 Median $19.50 Typical High $29.51 | Professional | 52 · Reduced service | $9.55 | $19.50 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $7.94 Typical High $11.75 | Professional | 53 · Discontinued | $3.80 | $7.94 | $11.75 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $19.50 Typical High $26.92 | Professional | 52 · Reduced service | $8.91 | $19.50 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $7.94 Typical High $10.72 | Professional | 53 · Discontinued | $3.55 | $7.94 | $10.72 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 48th of 51
$31.62
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.