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 $28.84 Median $33.88 Typical High $39.81 | Facility | None | $28.84 | $33.88 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $39.81 | Professional | None | $26.92 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $18.62 Typical High $19.95 | Professional | 52 · Reduced service | $13.49 | $18.62 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | None | $52.48 | $52.48 | $56.23 |
BCBS Texas Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $234.42 | Facility | None | $51.29 | $117.49 | $234.42 |
BCBS Texas Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $52.48 | Professional | None | $25.70 | $38.02 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $58.88 | Professional | None | $30.20 | $41.69 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $56.23 | Facility | None | $28.18 | $38.90 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $39.81 | Professional | None | $26.92 | $37.15 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $18.62 Typical High $19.95 | Professional | 52 · Reduced service | $13.49 | $18.62 | $19.95 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $63.10 Typical High $72.44 | Professional | None | $10.23 | $63.10 | $72.44 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $39.81 Typical High $56.23 | Facility | None | $28.84 | $39.81 | $56.23 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $63.10 | Professional | None | $30.20 | $41.69 | $63.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $67.61 | Professional | None | $29.51 | $43.65 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 24 · Unrelated visit after surgery Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 24 · Unrelated visit after surgery | $52.48 | $52.48 | $52.48 |
Where Texas sits
The same service costs 4.1 times more in Alaska than in Indiana. 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
$39.81
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.