How much rates vary
Facilitymedian $49 · 10th to 90th $25 to $115Professionalmedian $25 · 10th to 90th $5 to $151
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 $13.49 Median $29.51 Typical High $109.65 | Facility | None | $13.49 | $29.51 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $27.54 | Professional | None | $11.22 | $13.49 | $27.54 |
BCBS Texas Setting Facility Modifier None Typical Low $30.90 Median $74.13 Typical High $128.82 | Facility | None | $30.90 | $74.13 | $128.82 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $11.22 Typical High $27.54 | Professional | None | $5.01 | $11.22 | $27.54 |
Christus Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $43.65 Typical High $83.18 | Facility | None | $22.91 | $43.65 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Health Smart Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None | $144.54 | $144.54 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $97.72 | Facility | None | $15.14 | $24.55 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $27.54 | Professional | None | $12.02 | $13.49 | $27.54 |
Oscar Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $48.98 Typical High $85.11 | Facility | None | $17.38 | $48.98 | $85.11 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.51 Typical High $20.42 | Facility | None | $7.24 | $8.51 | $20.42 |
United Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | None | $8.51 | $11.48 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $20.42 | Professional | None | $10.00 | $10.00 | $20.42 |
8 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 Facility Modifier 52 · Reduced service Typical Low $6.76 Median $14.45 Typical High $54.95 | Facility | 52 · Reduced service | $6.76 | $14.45 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $5.89 Typical High $21.88 | Facility | 53 · Discontinued | $2.69 | $5.89 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.31 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.31 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.24 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.24 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.59 Median $14.45 Typical High $54.95 | Facility | 52 · Reduced service | $7.59 | $14.45 | $54.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $5.89 Typical High $21.88 | Facility | 53 · Discontinued | $3.09 | $5.89 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.31 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.31 | $8.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.57 Typical High $3.24 | Professional | 53 · Discontinued | $2.45 | $2.57 | $3.24 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 7th of 51
$32.36
AK $56.23DE $12.02
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.