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 $42.66 Median $50.12 Typical High $57.54 | Facility | None | $42.66 | $50.12 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $63.10 | Professional | None | $42.66 | $50.12 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $52.48 | Professional | None | $34.67 | $34.67 | $52.48 |
BCBS Texas Setting Facility Modifier None Typical Low $48.98 Median $112.20 Typical High $204.17 | Facility | None | $48.98 | $112.20 | $204.17 |
BCBS Texas Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $70.79 | Professional | None | $36.31 | $44.67 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $42.66 | Facility | None | $33.11 | $37.15 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | None | $34.67 | $50.12 | $77.62 |
Lucent Health Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | None | $346.74 | $457.09 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $125.89 | Facility | None | $42.66 | $54.95 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $63.10 | Professional | None | $42.66 | $50.12 | $63.10 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $53.70 Typical High $70.79 | Professional | None | $9.55 | $53.70 | $70.79 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $81.28 | Facility | None | $38.02 | $54.95 | $81.28 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | None | $34.67 | $50.12 | $77.62 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $81.28 | Professional | None | $43.65 | $57.54 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $20.89 Median $25.12 Typical High $31.62 | Professional | 52 · Reduced service | $20.89 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $12.88 | Professional | 53 · Discontinued | $8.51 | $10.00 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $25.12 Typical High $31.62 | Professional | 52 · Reduced service | $20.89 | $25.12 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $12.88 | Professional | 53 · Discontinued | $8.51 | $10.00 | $12.88 |
Where Texas sits
The same service costs 2.6 times more in Nebraska 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· 37th of 51
$53.70
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.