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 $79.43 Median $95.50 Typical High $104.71 | Facility | None | $79.43 | $95.50 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $125.89 | Professional | None | $79.43 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $107.15 Typical High $194.98 | Facility | None | $46.77 | $107.15 | $194.98 |
BCBS Texas Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $177.83 | Professional | None | $93.33 | $123.03 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $177.83 | Professional | None | $93.33 | $114.82 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $912.01 | Professional | None | $660.69 | $912.01 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $141.25 | Facility | None | $79.43 | $104.71 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $125.89 | Professional | None | $79.43 | $97.72 | $125.89 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $85.11 Typical High $109.65 | Professional | None | $15.14 | $85.11 | $109.65 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $147.91 | Facility | None | $87.10 | $107.15 | $147.91 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $181.97 | Professional | None | $93.33 | $114.82 | $181.97 |
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 $87.10 Median $120.23 Typical High $177.83 | Professional | None | $87.10 | $120.23 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $39.81 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $15.85 | $19.50 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $47.86 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $47.86 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $19.50 | $22.91 |
Where Texas sits
The same service costs 2.7 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· 49th of 51
$100
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.