How much rates vary
Facilitymedian $38 · 10th to 90th $28 to $145Professionalmedian $28 · 10th to 90th $20 to $40
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 $26.30 Median $28.84 Typical High $39.81 | Facility | None | $26.30 | $28.84 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $39.81 | Professional | None | $25.70 | $29.51 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $34.67 | Professional | None | $19.95 | $29.51 | $34.67 |
BCBS Texas Setting Facility Modifier None Typical Low $44.67 Median $102.33 Typical High $181.97 | Facility | None | $44.67 | $102.33 | $181.97 |
BCBS Texas Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $33.11 | Professional | None | $18.62 | $24.55 | $33.11 |
Christus Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $50.12 | Professional | None | $26.92 | $31.62 | $50.12 |
Health Smart Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None | $33.11 | $33.11 | $42.66 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $39.81 | Facility | None | $25.70 | $28.84 | $39.81 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $39.81 | Professional | None | $26.30 | $29.51 | $39.81 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $28.18 | Professional | None | $17.78 | $25.12 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | None | $26.30 | $26.30 | $34.67 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $37.15 Typical High $53.70 | Facility | None | $26.30 | $37.15 | $53.70 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $50.12 | Professional | None | $26.30 | $31.62 | $50.12 |
United Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $35.48 | Professional | None | $26.30 | $26.30 | $35.48 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
14 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 $37.15 Median $38.90 Typical High $57.54 | Facility | AF · Specialist physician | $37.15 | $38.90 | $57.54 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $28.18 Median $28.84 Typical High $42.66 | Facility | HO · Master's level | $28.18 | $28.84 | $42.66 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $31.62 Median $33.11 Typical High $48.98 | Facility | TD · Registered nurse | $31.62 | $33.11 | $48.98 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $29.51 Median $38.90 Typical High $57.54 | Professional | AF · Specialist physician | $29.51 | $38.90 | $57.54 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $21.88 Median $28.84 Typical High $42.66 | Professional | HO · Master's level | $21.88 | $28.84 | $42.66 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $25.12 Median $33.11 Typical High $48.98 | Professional | TD · Registered nurse | $25.12 | $33.11 | $48.98 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 33 · Preventive service | $34.67 | $34.67 | $39.81 |
Ambetter Setting Professional Modifier HA · Child/adolescent program Typical Low $7.59 Median $8.13 Typical High $10.00 | Professional | HA · Child/adolescent program | $7.59 | $8.13 | $10.00 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $37.15 Median $38.90 Typical High $57.54 | Facility | AF · Specialist physician | $37.15 | $38.90 | $57.54 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $28.18 Median $28.84 Typical High $42.66 | Facility | HO · Master's level | $28.18 | $28.84 | $42.66 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $31.62 Median $33.11 Typical High $48.98 | Facility | TD · Registered nurse | $31.62 | $33.11 | $48.98 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $29.51 Median $38.90 Typical High $57.54 | Professional | AF · Specialist physician | $29.51 | $38.90 | $57.54 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $21.88 Median $28.84 Typical High $42.66 | Professional | HO · Master's level | $21.88 | $28.84 | $42.66 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $25.12 Median $33.11 Typical High $48.98 | Professional | TD · Registered nurse | $25.12 | $33.11 | $48.98 |
Where Texas sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 43rd of 51
$28.18
AK $54.95AZ $23.44
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.