How much rates vary
Facilitymedian $347 · 10th to 90th $132 to $646Professionalmedian $24 · 10th to 90th $6 to $44
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 $14.45 Median $17.38 Typical High $19.50 | Facility | None | $14.45 | $17.38 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $27.54 | Professional | None | $14.45 | $17.38 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $23.99 | Professional | None | $14.45 | $17.38 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $162.18 Median $363.08 Typical High $645.65 | Facility | None | $162.18 | $363.08 | $645.65 |
BCBS Texas Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $32.36 | Professional | None | $14.79 | $18.62 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $120.23 Typical High $147.91 | Facility | None | $114.82 | $120.23 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $27.54 | Professional | None | $16.22 | $20.89 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | None | $120.23 | $190.55 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $14.45 Median $20.42 Typical High $28.18 | Facility | None | $14.45 | $20.42 | $28.18 |
Moda Health Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $27.54 | Professional | None | $14.45 | $17.38 | $27.54 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $26.92 Typical High $35.48 | Professional | None | $4.79 | $26.92 | $35.48 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $120.23 | Facility | None | $17.38 | $24.55 | $120.23 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $27.54 | Professional | None | $16.22 | $20.89 | $27.54 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $28.18 | Professional | None | $15.14 | $19.50 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
6 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 $7.24 Median $8.71 Typical High $10.96 | Professional | 52 · Reduced service | $7.24 | $8.71 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.47 Typical High $4.37 | Professional | 53 · Discontinued | $2.88 | $3.47 | $4.37 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 59 · Distinct service | $15.14 | $15.14 | $15.14 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | GP · Physical therapy plan | $14.45 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $8.71 Typical High $10.96 | Professional | 52 · Reduced service | $7.24 | $8.71 | $10.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.47 Typical High $4.37 | Professional | 53 · Discontinued | $2.88 | $3.47 | $4.37 |
Where Texas sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 21st of 51
$23.99
MN $39.81KY $17.38
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.