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 $18.20 Median $23.99 Typical High $56.23 | Facility | None | $18.20 | $23.99 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $28.84 | Professional | None | $18.20 | $23.44 | $28.84 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $112.20 Typical High $208.93 | Facility | None | $46.77 | $112.20 | $208.93 |
BCBS Texas Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | None | $28.18 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $39.81 | Professional | None | $18.20 | $26.92 | $39.81 |
Lucent Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | None | $239.88 | $239.88 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $18.20 Median $35.48 Typical High $50.12 | Facility | None | $18.20 | $35.48 | $50.12 |
Moda Health Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $28.18 | Professional | None | $18.20 | $23.99 | $28.18 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $57.54 Typical High $70.79 | Professional | None | $10.72 | $57.54 | $70.79 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $36.31 Typical High $48.98 | Facility | None | $18.20 | $36.31 | $48.98 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $38.02 | Professional | None | $18.20 | $26.92 | $38.02 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $41.69 | Facility | None | $30.20 | $30.20 | $41.69 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $37.15 | Professional | None | $28.18 | $33.11 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
2 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 $9.12 Median $12.02 Typical High $14.45 | Professional | 52 · Reduced service | $9.12 | $12.02 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $12.02 Typical High $14.45 | Professional | 52 · Reduced service | $9.12 | $12.02 | $14.45 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 14th of 51
$45.71
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.