How much rates vary
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 $100.00 Median $117.49 Typical High $134.90 | Facility | None | $100.00 | $117.49 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $134.90 | Professional | None | $100.00 | $117.49 | $134.90 |
BCBS Texas Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $457.09 | Professional | None | $107.15 | $169.82 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $169.82 | Professional | None | $100.00 | $134.90 | $169.82 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,071.52 | Professional | None | $831.76 | $1,071.52 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $169.82 | Facility | None | $112.20 | $123.03 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $151.36 | Professional | None | $100.00 | $117.49 | $151.36 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $107.15 Typical High $144.54 | Professional | None | $19.50 | $107.15 | $144.54 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $181.97 | Facility | None | $112.20 | $123.03 | $181.97 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $169.82 | Professional | None | $100.00 | $134.90 | $169.82 |
United Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $186.21 | Professional | None | $95.50 | $125.89 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
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 $50.12 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $23.44 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $58.88 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $23.44 | $26.92 |
Where Texas sits
The same service costs 21.4 times more in Alaska 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· 36th of 51
$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.