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 $61.66 Median $72.44 Typical High $83.18 | Facility | None | $61.66 | $72.44 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $83.18 | Professional | None | $61.66 | $72.44 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $83.18 | Professional | None | $58.88 | $79.43 | $83.18 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $660.69 | Professional | None | $501.19 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $102.33 | Facility | None | $69.18 | $75.86 | $102.33 |
Moda Health Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | None | $61.66 | $72.44 | $95.50 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $52.48 Typical High $72.44 | Professional | None | $9.55 | $52.48 | $72.44 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $109.65 | Facility | None | $69.18 | $75.86 | $109.65 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $83.18 | Professional | None | $58.88 | $79.43 | $83.18 |
United Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $87.10 | Professional | None | $33.88 | $52.48 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $30.20 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $30.20 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $12.30 | $14.45 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $30.20 | $36.31 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $12.30 | $14.45 | $16.60 |
Where Texas sits
The same service costs 6.6 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
$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.