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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $39.81 | Professional | None | $25.12 | $30.20 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $104.71 Typical High $141.25 | Professional | None | $50.12 | $104.71 | $141.25 |
BCBS Texas Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $56.23 | Facility | None | $44.67 | $50.12 | $56.23 |
BCBS Texas Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | None | $45.71 | $45.71 | $60.26 |
Baylor Scott & White Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | None | $39.81 | $39.81 | $52.48 |
Christus Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $63.10 | Facility | None | $44.67 | $50.12 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $63.10 | Professional | None | $44.67 | $60.26 | $63.10 |
Health Smart Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Health Smart Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $42.66 | Facility | None | $30.20 | $30.20 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $34.67 | Professional | None | $25.12 | $30.20 | $34.67 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $60.26 | Facility | None | $30.20 | $42.66 | $60.26 |
Providence Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $63.10 | Professional | None | $44.67 | $60.26 | $63.10 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $75.86 | Professional | None | $39.81 | $39.81 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
2 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 Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Texas sits
The same service costs 6.6 times more in Louisiana than in Wyoming. 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· 18th of 51
$45.71
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.