How much rates vary
Facilitymedian $138 · 10th to 90th $39 to $355Professionalmedian $14 · 10th to 90th $11 to $30
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 $11.75 Median $14.45 Typical High $19.50 | Facility | None | $11.75 | $14.45 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $22.39 | Professional | None | $10.96 | $13.80 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $16.22 | Professional | None | $12.59 | $13.80 | $16.22 |
BCBS Texas Setting Facility Modifier None Typical Low $60.26 Median $158.49 Typical High $316.23 | Facility | None | $60.26 | $158.49 | $316.23 |
BCBS Texas Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $40.74 | Professional | None | $10.47 | $11.75 | $40.74 |
Baylor Scott & White Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $165.96 | Facility | None | $77.62 | $165.96 | $165.96 |
Christus Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $54.95 Typical High $114.82 | Facility | None | $23.99 | $54.95 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $38.02 | Professional | None | $11.48 | $15.14 | $38.02 |
Health Smart Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $28.84 | Professional | None | $12.59 | $18.20 | $28.84 |
Lucent Health Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $28.84 | Professional | None | $12.59 | $18.20 | $28.84 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $181.97 Typical High $489.78 | Facility | None | $39.81 | $181.97 | $489.78 |
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $74.13 Median $169.82 Typical High $4,466.84 | Facility | 59 · Distinct service | $74.13 | $169.82 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $28.84 | Professional | None | $10.96 | $14.79 | $28.84 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $16.98 Median $24.55 Typical High $39.81 | Professional | 59 · Distinct service | $16.98 | $24.55 | $39.81 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | None | $11.48 | $11.48 | $12.02 |
Providence Setting Facility Modifier None Typical Low $12.88 Median $20.42 Typical High $64.57 | Facility | None | $12.88 | $20.42 | $64.57 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $38.02 | Professional | None | $9.55 | $15.14 | $38.02 |
United Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $151.36 | Facility | None | $109.65 | $112.20 | $151.36 |
United Setting Professional Modifier None Typical Low $11.48 Median $23.99 Typical High $30.20 | Professional | None | $11.48 | $23.99 | $30.20 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
2 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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier XS · Separate structure Typical Low $87.10 Median $95.50 Typical High $2,137.96 | Facility | XS · Separate structure | $87.10 | $95.50 | $2,137.96 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $89.13 Median $181.97 Typical High $602.56 | Facility | XU · Unusual separate service | $89.13 | $181.97 | $602.56 |
Where Texas sits
The same service costs 7.4 times more in Vermont than in New York. 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· 4th of 51
$69.18
VT $112NY $15.14
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.