How much rates vary
Facilitymedian $135 · 10th to 90th $76 to $447Professionalmedian $62 · 10th to 90th $11 to $479
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 $41.69 Median $70.79 Typical High $186.21 | Facility | None | $41.69 | $70.79 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $87.10 | Professional | None | $41.69 | $54.95 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $63.10 | Professional | None | $53.70 | $58.88 | $63.10 |
BCBS Texas Setting Facility Modifier None Typical Low $75.86 Median $190.55 Typical High $363.08 | Facility | None | $75.86 | $190.55 | $363.08 |
BCBS Texas Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $100.00 | Professional | None | $53.70 | $72.44 | $100.00 |
Baylor Scott & White Setting Facility Modifier None Typical Low $72.44 Median $144.54 Typical High $3,890.45 | Facility | None | $72.44 | $144.54 | $3,890.45 |
Baylor Scott & White Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $102.33 | Professional | None | $63.10 | $70.79 | $102.33 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $100.00 | Professional | None | $47.86 | $63.10 | $100.00 |
Health Smart Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $91.20 | Professional | None | $67.61 | $83.18 | $91.20 |
Lucent Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None | $478.63 | $478.63 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $354.81 Typical High $660.69 | Facility | None | $61.66 | $354.81 | $660.69 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $87.10 | Professional | None | $41.69 | $54.95 | $87.10 |
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 $2,630.27 Median $2,630.27 Typical High $6,025.60 | Facility | None | $2,630.27 | $2,630.27 | $6,025.60 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $131.83 Typical High $245.47 | Professional | None | $67.61 | $131.83 | $245.47 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $112.20 | Facility | None | $54.95 | $75.86 | $112.20 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $97.72 | Professional | None | $47.86 | $60.26 | $97.72 |
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 $52.48 Median $69.18 Typical High $100.00 | Professional | None | $52.48 | $69.18 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 59 · Distinct service | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | KX · Policy requirements met | $58.88 | $58.88 | $66.07 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | Q6 · Substitute physician, paid per time | $61.66 | $61.66 | $63.10 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | XU · Unusual separate service | $85.11 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | 59 · Distinct service | $61.66 | $61.66 | $81.28 |
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· 50th of 51
$61.66
AK $174FL $58.88
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.