How much rates vary
Facilitymedian $65 · 10th to 90th $26 to $151Professionalmedian $36 · 10th to 90th $5 to $200
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 $17.78 Median $38.02 Typical High $144.54 | Facility | None | $17.78 | $38.02 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $23.99 | Professional | None | $14.79 | $17.38 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $100.00 Typical High $190.55 | Facility | None | $39.81 | $100.00 | $190.55 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $15.14 Typical High $36.31 | Professional | None | $5.01 | $15.14 | $36.31 |
Baylor Scott & White Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $50.12 | Professional | None | $18.62 | $26.92 | $50.12 |
Christus Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $109.65 | Facility | None | $30.20 | $57.54 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Health Smart Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Lucent Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | None | $190.55 | $190.55 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $19.95 Median $31.62 Typical High $144.54 | Facility | None | $19.95 | $31.62 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $26.92 | Professional | None | $14.79 | $17.78 | $26.92 |
Oscar Health Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $346.74 | Facility | None | $131.83 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $64.57 Typical High $112.20 | Facility | None | $22.91 | $64.57 | $112.20 |
Providence Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Facility Modifier None Typical Low $9.55 Median $11.22 Typical High $26.30 | Facility | None | $9.55 | $11.22 | $26.30 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $22.91 | Professional | None | $11.22 | $15.14 | $22.91 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $26.30 | Professional | None | $13.18 | $13.18 | $26.30 |
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 $8.91 Median $19.05 Typical High $72.44 | Facility | 52 · Reduced service | $8.91 | $19.05 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $7.59 Typical High $28.84 | Facility | 53 · Discontinued | $3.55 | $7.59 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.31 | $4.27 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $19.05 Typical High $72.44 | Facility | 52 · Reduced service | $10.00 | $19.05 | $72.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.59 Typical High $28.84 | Facility | 53 · Discontinued | $3.98 | $7.59 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.31 | $4.27 |
Where Texas sits
The same service costs 5.6 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· 6th of 51
$46.77
AK $89.13DE $15.85
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.