How much rates vary
Facilitymedian $95 · 10th to 90th $51 to $275Professionalmedian $51 · 10th to 90th $32 to $68
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 $45.71 Median $56.23 Typical High $66.07 | Facility | None | $45.71 | $56.23 | $66.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $21.38 Median $26.92 Typical High $30.20 | Facility | 52 · Reduced service | $21.38 | $26.92 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $10.96 Typical High $12.02 | Facility | 53 · Discontinued | $8.51 | $10.96 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $66.07 | Professional | None | $45.71 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $21.38 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.47 Typical High $11.75 | Professional | 53 · Discontinued | $8.51 | $10.47 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $316.23 | Facility | None | $79.43 | $177.83 | $316.23 |
BCBS Texas Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $58.88 | Professional | None | $28.84 | $38.90 | $58.88 |
Christus Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $85.11 | Professional | None | $40.74 | $57.54 | $85.11 |
Lucent Health Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | None | $371.54 | $467.74 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $56.23 Typical High $67.61 | Facility | None | $45.71 | $56.23 | $67.61 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $21.38 Median $26.92 Typical High $30.90 | Facility | 52 · Reduced service | $21.38 | $26.92 | $30.90 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $10.96 Typical High $12.30 | Facility | 53 · Discontinued | $8.51 | $10.96 | $12.30 |
Moda Health Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $66.07 | Professional | None | $45.71 | $54.95 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $21.38 | $26.30 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.47 Typical High $11.75 | Professional | 53 · Discontinued | $8.51 | $10.47 | $11.75 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $37.15 | Professional | None | $25.12 | $33.88 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $89.13 Typical High $123.03 | Professional | None | $48.98 | $89.13 | $123.03 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $93.33 | Facility | None | $44.67 | $66.07 | $93.33 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $83.18 | Professional | None | $40.74 | $54.95 | $83.18 |
United Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $93.33 | Professional | None | $45.71 | $61.66 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
13 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 Facility Modifier AF · Specialist physician Typical Low $64.57 Median $66.07 Typical High $69.18 | Facility | AF · Specialist physician | $64.57 | $66.07 | $69.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $47.86 Median $50.12 Typical High $52.48 | Facility | HO · Master's level | $47.86 | $50.12 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $54.95 Median $56.23 Typical High $58.88 | Facility | TD · Registered nurse | $54.95 | $56.23 | $58.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $64.57 Median $66.07 Typical High $74.13 | Professional | AF · Specialist physician | $64.57 | $66.07 | $74.13 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $50.12 Typical High $54.95 | Professional | HO · Master's level | $47.86 | $50.12 | $54.95 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $54.95 Median $56.23 Typical High $63.10 | Professional | TD · Registered nurse | $54.95 | $56.23 | $63.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 59 · Distinct service | $46.77 | $46.77 | $46.77 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $64.57 Median $66.07 Typical High $69.18 | Facility | AF · Specialist physician | $64.57 | $66.07 | $69.18 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $47.86 Median $50.12 Typical High $52.48 | Facility | HO · Master's level | $47.86 | $50.12 | $52.48 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $54.95 Median $56.23 Typical High $58.88 | Facility | TD · Registered nurse | $54.95 | $56.23 | $58.88 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $64.57 Median $66.07 Typical High $74.13 | Professional | AF · Specialist physician | $64.57 | $66.07 | $74.13 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $50.12 Typical High $54.95 | Professional | HO · Master's level | $47.86 | $50.12 | $54.95 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $54.95 Median $56.23 Typical High $63.10 | Professional | TD · Registered nurse | $54.95 | $56.23 | $63.10 |
Where Texas sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 42nd of 51
$51.29
AK $110AZ $42.66
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.