How much rates vary
Facilitymedian $158 · 10th to 90th $71 to $288Professionalmedian $102 · 10th to 90th $17 to $759
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 $91.20 Median $107.15 Typical High $123.03 | Facility | None | $91.20 | $107.15 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $162.18 | Professional | None | $70.79 | $91.20 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $114.82 | Professional | None | $66.07 | $109.65 | $114.82 |
BCBS Texas Setting Facility Modifier None Typical Low $74.13 Median $169.82 Typical High $295.12 | Facility | None | $74.13 | $169.82 | $295.12 |
BCBS Texas Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $199.53 | Professional | None | $102.33 | $138.04 | $199.53 |
Baylor Scott & White Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $173.78 | Professional | None | $109.65 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $112.20 | Facility | None | $50.12 | $60.26 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $154.88 | Professional | None | $75.86 | $123.03 | $154.88 |
Health Smart Setting Professional Modifier None Typical Low $41.69 Median $120.23 Typical High $134.90 | Professional | None | $41.69 | $120.23 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None | $758.58 | $758.58 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $109.65 Typical High $154.88 | Facility | None | $50.12 | $109.65 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $162.18 | Professional | None | $70.79 | $91.20 | $162.18 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $79.43 Typical High $109.65 | Professional | None | $14.45 | $79.43 | $109.65 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $158.49 | Facility | None | $50.12 | $107.15 | $158.49 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $154.88 | Professional | None | $75.86 | $123.03 | $154.88 |
United Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $123.03 | Facility | None | $89.13 | $93.33 | $123.03 |
United Setting Professional Modifier None Typical Low $67.61 Median $107.15 Typical High $162.18 | Professional | None | $67.61 | $107.15 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $45.71 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $21.88 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $45.71 | $53.70 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $21.88 | $24.55 |
Where Texas sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 32nd of 51
$107
AK $263AL $63.10
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.