How much rates vary
Facilitymedian $76 · 10th to 90th $52 to $288Professionalmedian $56 · 10th to 90th $38 to $76
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 $51.29 Median $54.95 Typical High $75.86 | Facility | None | $51.29 | $54.95 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $75.86 | Professional | None | $51.29 | $57.54 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | None | $66.07 | $66.07 | $69.18 |
BCBS Texas Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $363.08 | Facility | None | $87.10 | $199.53 | $363.08 |
BCBS Texas Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $66.07 | Professional | None | $36.31 | $45.71 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $97.72 | Professional | None | $52.48 | $63.10 | $97.72 |
Lucent Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $79.43 | Facility | None | $51.29 | $56.23 | $79.43 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $75.86 | Professional | None | $51.29 | $57.54 | $75.86 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $64.57 | Professional | None | $30.20 | $44.67 | $64.57 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | None | $50.12 | $50.12 | $66.07 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $107.15 | Facility | None | $52.48 | $74.13 | $107.15 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $97.72 | Professional | None | $51.29 | $61.66 | $97.72 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | None | $50.12 | $50.12 | $69.18 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
13 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 $72.44 Median $75.86 Typical High $134.90 | Facility | AF · Specialist physician | $72.44 | $75.86 | $134.90 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $56.23 Typical High $100.00 | Facility | HO · Master's level | $54.95 | $56.23 | $100.00 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $63.10 Typical High $114.82 | Facility | TD · Registered nurse | $61.66 | $63.10 | $114.82 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $57.54 Median $75.86 Typical High $134.90 | Professional | AF · Specialist physician | $57.54 | $75.86 | $134.90 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $42.66 Median $56.23 Typical High $100.00 | Professional | HO · Master's level | $42.66 | $56.23 | $100.00 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $48.98 Median $63.10 Typical High $114.82 | Professional | TD · Registered nurse | $48.98 | $63.10 | $114.82 |
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | U1 · State-defined | $56.23 | $56.23 | $56.23 |
Moda Health Setting Facility Modifier AF · Specialist physician Typical Low $72.44 Median $75.86 Typical High $134.90 | Facility | AF · Specialist physician | $72.44 | $75.86 | $134.90 |
Moda Health Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $56.23 Typical High $100.00 | Facility | HO · Master's level | $54.95 | $56.23 | $100.00 |
Moda Health Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $63.10 Typical High $114.82 | Facility | TD · Registered nurse | $61.66 | $63.10 | $114.82 |
Moda Health Setting Professional Modifier AF · Specialist physician Typical Low $57.54 Median $75.86 Typical High $134.90 | Professional | AF · Specialist physician | $57.54 | $75.86 | $134.90 |
Moda Health Setting Professional Modifier HO · Master's level Typical Low $42.66 Median $56.23 Typical High $100.00 | Professional | HO · Master's level | $42.66 | $56.23 | $100.00 |
Moda Health Setting Professional Modifier TD · Registered nurse Typical Low $48.98 Median $63.10 Typical High $114.82 | Professional | TD · Registered nurse | $48.98 | $63.10 | $114.82 |
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· 38th of 51
$56.23
AK $110AZ $46.77
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.