How much rates vary
Facilitymedian $240 · 10th to 90th $123 to $617Professionalmedian $110 · 10th to 90th $71 to $135
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 $97.72 Median $109.65 Typical High $131.83 | Facility | None | $97.72 | $109.65 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | None | $91.20 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $40.74 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $16.22 | $20.42 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $114.82 | Professional | None | $83.18 | $97.72 | $114.82 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $380.19 Typical High $724.44 | Facility | None | $138.04 | $380.19 | $724.44 |
BCBS Texas Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $120.23 | Professional | None | $63.10 | $89.13 | $120.23 |
Baylor Scott & White Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | None | $109.65 | $123.03 | $134.90 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $125.89 | Professional | None | $83.18 | $120.23 | $125.89 |
Health Smart Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $162.18 | Professional | None | $120.23 | $141.25 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None | $741.31 | $741.31 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $562.34 | Facility | None | $97.72 | $128.82 | $562.34 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | None | $91.20 | $109.65 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $40.74 | $51.29 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $16.22 | $20.42 | $23.44 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $131.83 Typical High $144.54 | Professional | None | $23.44 | $131.83 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $181.97 | Facility | None | $97.72 | $128.82 | $181.97 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $125.89 | Professional | None | $83.18 | $120.23 | $125.89 |
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 $91.20 Median $120.23 Typical High $154.88 | Professional | None | $91.20 | $120.23 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 59 · Distinct service | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier U9 · State-defined Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | U9 · State-defined | $114.82 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier UC · State-defined Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | UC · State-defined | $104.71 | $123.03 | $123.03 |
Where Texas sits
The same service costs 2.3 times more in Alaska 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· 41st of 51
$110
AK $219KY $93.33
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.