How much rates vary
Facilitymedian $182 · 10th to 90th $112 to $537Professionalmedian $170 · 10th to 90th $100 to $245
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 $114.82 Median $151.36 Typical High $169.82 | Facility | None | $114.82 | $151.36 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $169.82 | Professional | None | $112.20 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $72.44 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $223.87 | Professional | None | $120.23 | $181.97 | $223.87 |
BCBS Texas Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $616.60 | Facility | None | $147.91 | $338.84 | $616.60 |
BCBS Texas Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $199.53 | Professional | None | $100.00 | $151.36 | $199.53 |
Baylor Scott & White Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $309.03 | Professional | None | $125.89 | $173.78 | $309.03 |
Christus Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | None | $114.82 | $165.96 | $223.87 |
Lucent Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $257.04 | Facility | None | $114.82 | $169.82 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $169.82 | Professional | None | $112.20 | $162.18 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $72.44 | $85.11 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $223.87 Typical High $251.19 | Professional | None | $35.48 | $223.87 | $251.19 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $165.96 Typical High $245.47 | Facility | None | $114.82 | $165.96 | $245.47 |
Providence Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $229.09 | Professional | None | $114.82 | $165.96 | $229.09 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $239.88 | Professional | None | $100.00 | $154.88 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $158.49 Median $213.80 Typical High $223.87 | Professional | 25 · Same-day visit | $158.49 | $213.80 | $223.87 |
Ambetter Setting Professional Modifier AM · Physician, team member Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | AM · Physician, team member | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | SA · Nurse practitioner | $213.80 | $213.80 | $223.87 |
Where Texas sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 21st of 51
$170
AK $339KY $120
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.