How much rates vary
Facilitymedian $46 · 10th to 90th $45 to $120Professionalmedian $29 · 10th to 90th $26 to $372
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 $33.11 Median $33.11 Typical High $36.31 | Facility | None | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $38.02 | Professional | None | $33.11 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.01 Typical High $6.46 | Professional | 55 · Aftercare only | $4.90 | $5.01 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.39 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.31 | $3.39 | $4.37 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | None | $23.99 | $28.18 | $39.81 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $147.91 | Facility | None | $39.81 | $61.66 | $147.91 |
BCBS Texas Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Baylor Scott & White Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | None | $48.98 | $48.98 | $56.23 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Health Smart Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $61.66 | Professional | None | $35.48 | $56.23 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | None | $245.47 | $245.47 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $47.86 Typical High $53.70 | Facility | None | $33.11 | $47.86 | $53.70 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $41.69 | Professional | None | $33.11 | $33.88 | $41.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $5.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.39 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.31 | $3.39 | $3.98 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $41.69 | Professional | None | $35.48 | $35.48 | $41.69 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $48.98 Typical High $53.70 | Facility | None | $33.88 | $48.98 | $53.70 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $39.81 | Professional | None | $20.89 | $25.70 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
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 KX · Policy requirements met Typical Low $39.81 Median $39.81 Typical High $56.23 | Professional | KX · Policy requirements met | $39.81 | $39.81 | $56.23 |
Where Texas sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 42nd of 51
$28.84
WY $138UT $25.12
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.