How much rates vary
Facilitymedian $427 · 10th to 90th $155 to $794Professionalmedian $123 · 10th to 90th $22 to $955
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 $85.11 Median $134.90 Typical High $380.19 | Facility | None | $85.11 | $134.90 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $177.83 | Professional | None | $85.11 | $117.49 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | None | $107.15 | $125.89 | $131.83 |
BCBS Texas Setting Facility Modifier None Typical Low $154.88 Median $398.11 Typical High $758.58 | Facility | None | $154.88 | $398.11 | $758.58 |
BCBS Texas Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $208.93 | Professional | None | $100.00 | $134.90 | $208.93 |
Baylor Scott & White Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $213.80 | Professional | None | $128.82 | $144.54 | $213.80 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $331.13 | Facility | None | $138.04 | $138.04 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $204.17 | Professional | None | $95.50 | $131.83 | $204.17 |
Health Smart Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $263.03 | Professional | None | $120.23 | $144.54 | $263.03 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,174.90 | Professional | None | $954.99 | $954.99 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $741.31 Typical High $977.24 | Facility | None | $134.90 | $741.31 | $977.24 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $177.83 | Professional | None | $85.11 | $123.03 | $177.83 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $104.71 Typical High $144.54 | Professional | None | $19.05 | $104.71 | $144.54 |
Oscar Health Setting Facility Modifier None Typical Low $380.19 Median $794.33 Typical High $977.24 | Facility | None | $380.19 | $794.33 | $977.24 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $489.78 | Professional | None | $125.89 | $263.03 | $489.78 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $234.42 | Facility | None | $112.20 | $162.18 | $234.42 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $199.53 | Professional | None | $95.50 | $125.89 | $199.53 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $691.83 | Facility | None | $501.19 | $524.81 | $691.83 |
United Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $208.93 | Professional | None | $107.15 | $141.25 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 59 · Distinct service | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $117.49 Median $125.89 Typical High $134.90 | Professional | KX · Policy requirements met | $117.49 | $125.89 | $134.90 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $89.13 Median $123.03 Typical High $125.89 | Professional | Q6 · Substitute physician, paid per time | $89.13 | $123.03 | $125.89 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | 59 · Distinct service | $125.89 | $125.89 | $223.87 |
Where Texas sits
The same service costs 2.9 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
$126
AK $347FL $120
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.