How much rates vary
Facilitymedian $41 · 10th to 90th $14 to $631Professionalmedian $32 · 10th to 90th $9 to $79
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 $10.00 Median $23.44 Typical High $52.48 | Facility | None | $10.00 | $23.44 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $38.90 Typical High $57.54 | Professional | None | $9.12 | $38.90 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $48.98 | Professional | None | $10.96 | $14.13 | $48.98 |
BCBS Texas Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $66.07 | Facility | None | $13.80 | $33.88 | $66.07 |
BCBS Texas Setting Professional Modifier None Typical Low $9.77 Median $36.31 Typical High $75.86 | Professional | None | $9.77 | $36.31 | $75.86 |
Baylor Scott & White Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $17.38 | Professional | None | $10.96 | $10.96 | $17.38 |
Christus Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $38.90 Typical High $60.26 | Professional | None | $10.47 | $38.90 | $60.26 |
Health Smart Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $58.88 | Professional | None | $12.59 | $17.38 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | None | $323.59 | $323.59 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $263.03 Typical High $1,479.11 | Facility | None | $120.23 | $263.03 | $1,479.11 |
Moda Health Setting Professional Modifier None Typical Low $9.12 Median $24.55 Typical High $61.66 | Professional | None | $9.12 | $24.55 | $61.66 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $28.18 Typical High $36.31 | Professional | None | $4.79 | $28.18 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $4,168.69 Median $9,332.54 Typical High $9,332.54 | Facility | None | $4,168.69 | $9,332.54 | $9,332.54 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $48.98 Typical High $112.20 | Professional | None | $12.30 | $48.98 | $112.20 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $20.89 Typical High $70.79 | Facility | None | $10.96 | $20.89 | $70.79 |
Providence Setting Professional Modifier None Typical Low $10.47 Median $34.67 Typical High $60.26 | Professional | None | $10.47 | $34.67 | $60.26 |
United Setting Professional Modifier None Typical Low $10.00 Median $33.88 Typical High $67.61 | Professional | None | $10.00 | $33.88 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
8 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 53 · Discontinued Typical Low $1.82 Median $7.76 Typical High $10.47 | Professional | 53 · Discontinued | $1.82 | $7.76 | $10.47 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $10.72 Median $10.96 Typical High $32.36 | Professional | 59 · Distinct service | $10.72 | $10.96 | $32.36 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 76 · Repeat, same provider | $21.38 | $21.38 | $21.38 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $10.72 Median $10.96 Typical High $13.49 | Professional | GC · Resident with teaching physician | $10.72 | $10.96 | $13.49 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | Q6 · Substitute physician, paid per time | $12.30 | $12.30 | $14.79 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $223.87 Median $338.84 Typical High $616.60 | Facility | XU · Unusual separate service | $223.87 | $338.84 | $616.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $7.24 Typical High $10.47 | Professional | 53 · Discontinued | $1.82 | $7.24 | $10.47 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $11.48 Median $20.89 Typical High $83.18 | Professional | 59 · Distinct service | $11.48 | $20.89 | $83.18 |
Where Texas sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 32nd of 51
$31.62
MN $91.20GA $13.49
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.