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 $67.61 Median $69.18 Typical High $69.18 | Facility | None | $67.61 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | None | $67.61 | $69.18 | $69.18 |
BCBS Texas Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $354.81 | Facility | None | $69.18 | $186.21 | $354.81 |
BCBS Texas Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $229.09 | Facility | None | $70.79 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Lucent Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None | $426.58 | $426.58 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $251.19 | Facility | None | $69.18 | $97.72 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | None | $67.61 | $69.18 | $69.18 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $53.70 | Professional | None | $30.20 | $39.81 | $53.70 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $616.60 | Facility | None | $70.79 | $95.50 | $616.60 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | None | $79.43 | $79.43 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
4 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 $33.88 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.49 | $13.80 | $13.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.49 | $13.80 | $13.80 |
Where Texas sits
The same service costs 2.5 times more in Kansas 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· 6th of 51
$79.43
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.