How much rates vary
Facilitymedian $36 · 10th to 90th $17 to $36Professionalmedian $23 · 10th to 90th $15 to $38
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 $13.18 Median $15.14 Typical High $21.38 | Facility | None | $13.18 | $15.14 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $23.44 | Professional | None | $13.18 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $6.61 | $9.33 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None | $25.12 | $25.12 | $33.11 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $645.65 Typical High $645.65 | Facility | None | $229.09 | $645.65 | $645.65 |
BCBS Texas Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $27.54 | Professional | None | $25.12 | $25.12 | $27.54 |
Baylor Scott & White Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $50.12 | Professional | None | $28.84 | $35.48 | $50.12 |
Christus Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Health Smart Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Lucent Health Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $288.40 | Professional | None | $186.21 | $288.40 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $33.11 | Facility | None | $13.49 | $19.05 | $33.11 |
Moda Health Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $23.44 | Professional | None | $13.18 | $18.62 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $9.33 Typical High $10.72 | Professional | 52 · Reduced service | $6.61 | $9.33 | $10.72 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $34.67 | Professional | None | $23.44 | $33.88 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $53.70 Typical High $74.13 | Professional | None | $28.18 | $53.70 | $74.13 |
Providence Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $31.62 | Facility | None | $13.49 | $19.05 | $31.62 |
Providence Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | None | $27.54 | $27.54 | $28.84 |
United Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $208.93 | Facility | None | $154.88 | $158.49 | $208.93 |
United Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $38.90 | Professional | None | $19.05 | $25.70 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $28.18 Typical High $33.88 | Professional | 59 · Distinct service | $21.38 | $28.18 | $33.88 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $29.51 Typical High $51.29 | Professional | 59 · Distinct service | $21.38 | $29.51 | $51.29 |
Where Texas sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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· 46th of 51
$23.44
ND $52.48KY $19.50
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.