How much rates vary
Facilitymedian $87 · 10th to 90th $72 to $87Professionalmedian $85 · 10th to 90th $71 to $123
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 $70.79 Median $74.13 Typical High $85.11 | Facility | None | $70.79 | $74.13 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $100.00 | Professional | None | $70.79 | $81.28 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None | $81.28 | $95.50 | $112.20 |
BCBS Texas Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $125.89 | Professional | None | $77.62 | $87.10 | $125.89 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $239.88 | Professional | None | $81.28 | $104.71 | $239.88 |
Health Smart Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $147.91 | Professional | None | $109.65 | $112.20 | $147.91 |
Lucent Health Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $616.60 | Professional | None | $109.65 | $125.89 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $114.82 | Facility | None | $70.79 | $74.13 | $114.82 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $107.15 | Professional | None | $70.79 | $81.28 | $107.15 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $97.72 Typical High $107.15 | Professional | None | $50.12 | $97.72 | $107.15 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $141.25 | Facility | None | $95.50 | $112.20 | $141.25 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $239.88 | Professional | None | $77.62 | $102.33 | $239.88 |
United Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $123.03 | Professional | None | $69.18 | $95.50 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 Facility Modifier AF · Specialist physician Typical Low $91.20 Median $97.72 Typical High $100.00 | Facility | AF · Specialist physician | $91.20 | $97.72 | $100.00 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $67.61 Median $74.13 Typical High $74.13 | Facility | HO · Master's level | $67.61 | $74.13 | $74.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $83.18 Typical High $85.11 | Facility | TD · Registered nurse | $77.62 | $83.18 | $85.11 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $91.20 Median $97.72 Typical High $100.00 | Facility | AF · Specialist physician | $91.20 | $97.72 | $100.00 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $67.61 Median $74.13 Typical High $74.13 | Facility | HO · Master's level | $67.61 | $74.13 | $74.13 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $83.18 Typical High $85.11 | Facility | TD · Registered nurse | $77.62 | $83.18 | $85.11 |
Where Texas sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 40th of 51
$87.10
AK $191NJ $70.79
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.