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 $33.11 Median $39.81 Typical High $43.65 | Facility | None | $33.11 | $39.81 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $46.77 | Professional | None | $33.11 | $39.81 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $61.66 | Professional | None | $36.31 | $44.67 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | None | $275.42 | $354.81 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $41.69 Typical High $58.88 | Facility | None | $39.81 | $41.69 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $52.48 | Professional | None | $33.11 | $39.81 | $52.48 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $28.84 Typical High $37.15 | Professional | None | $5.25 | $28.84 | $37.15 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $42.66 Typical High $61.66 | Facility | None | $39.81 | $42.66 | $61.66 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $61.66 | Professional | None | $36.31 | $44.67 | $61.66 |
United Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $69.18 | Professional | None | $35.48 | $46.77 | $69.18 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $16.60 Median $19.95 Typical High $23.44 | Professional | 52 · Reduced service | $16.60 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.94 Typical High $9.33 | Professional | 53 · Discontinued | $6.61 | $7.94 | $9.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.95 Typical High $23.44 | Professional | 52 · Reduced service | $16.60 | $19.95 | $23.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.94 Typical High $9.33 | Professional | 53 · Discontinued | $6.61 | $7.94 | $9.33 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 38th of 51
$43.65
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.