How much rates vary
Facilitymedian $145 · 10th to 90th $78 to $380Professionalmedian $66 · 10th to 90th $11 to $490
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 $47.86 Median $85.11 Typical High $218.78 | Facility | None | $47.86 | $85.11 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $97.72 | Professional | None | $47.86 | $63.10 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $269.15 | Professional | None | $63.10 | $69.18 | $269.15 |
BCBS Texas Setting Facility Modifier None Typical Low $77.62 Median $186.21 Typical High $323.59 | Facility | None | $77.62 | $186.21 | $323.59 |
BCBS Texas Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $123.03 | Professional | None | $56.23 | $77.62 | $123.03 |
Baylor Scott & White Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $102.33 | Professional | None | $69.18 | $72.44 | $102.33 |
Christus Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $77.62 | Facility | None | $66.07 | $74.13 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $104.71 | Professional | None | $53.70 | $69.18 | $104.71 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | None | $489.78 | $489.78 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $363.08 Typical High $1,819.70 | Facility | None | $67.61 | $363.08 | $1,819.70 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $97.72 | Professional | None | $47.86 | $67.61 | $97.72 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $52.48 Typical High $72.44 | Professional | None | $9.55 | $52.48 | $72.44 |
Oscar Health Setting Facility Modifier None Typical Low $954.99 Median $21,379.62 Typical High $21,379.62 | Facility | None | $954.99 | $21,379.62 | $21,379.62 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $263.03 | Professional | None | $67.61 | $141.25 | $263.03 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $107.15 | Facility | None | $61.66 | $74.13 | $107.15 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $104.71 | Professional | None | $53.70 | $67.61 | $104.71 |
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 $60.26 Median $72.44 Typical High $102.33 | Professional | None | $60.26 | $72.44 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
5 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 $69.18 Median $69.18 Typical High $69.18 | Professional | 59 · Distinct service | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 76 · Repeat, same provider | $66.07 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | KX · Policy requirements met | $72.44 | $72.44 | $89.13 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | Q6 · Substitute physician, paid per time | $66.07 | $66.07 | $69.18 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | SA · Nurse practitioner | $63.10 | $63.10 | $63.10 |
Where Texas sits
The same service costs 3.0 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· 48th of 51
$66.07
AK $195FL $64.57
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.