How much rates vary
Facilitymedian $65 · 10th to 90th $43 to $234Professionalmedian $26 · 10th to 90th $13 to $42
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 $34.67 Median $66.07 Typical High $251.19 | Facility | None | $34.67 | $66.07 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $69.18 | Professional | None | $28.84 | $34.67 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $46.77 | Professional | None | $24.55 | $28.84 | $46.77 |
BCBS Texas Setting Facility Modifier None Typical Low $61.66 Median $158.49 Typical High $269.15 | Facility | None | $61.66 | $158.49 | $269.15 |
BCBS Texas Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $45.71 | Professional | None | $25.70 | $26.30 | $45.71 |
Christus Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $87.10 Typical High $141.25 | Facility | None | $15.49 | $87.10 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | None | $24.55 | $24.55 | $47.86 |
Lucent Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $46.77 Typical High $173.78 | Facility | None | $33.88 | $46.77 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $63.10 | Professional | None | $28.84 | $35.48 | $63.10 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | None | $32.36 | $32.36 | $34.67 |
Oscar Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $48.98 Typical High $144.54 | Facility | None | $30.20 | $48.98 | $144.54 |
Providence Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
United Setting Facility Modifier None Typical Low $16.60 Median $19.50 Typical High $46.77 | Facility | None | $16.60 | $19.50 | $46.77 |
United Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $27.54 | Professional | None | $8.13 | $19.50 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
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 $15.49 Median $33.11 Typical High $125.89 | Facility | 52 · Reduced service | $15.49 | $33.11 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $13.49 Typical High $50.12 | Facility | 53 · Discontinued | $6.17 | $13.49 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $15.14 Typical High $28.18 | Professional | 52 · Reduced service | $13.80 | $15.14 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | 53 · Discontinued | $5.62 | $6.17 | $11.22 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $17.38 Median $33.11 Typical High $125.89 | Facility | 52 · Reduced service | $17.38 | $33.11 | $125.89 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $13.49 Typical High $50.12 | Facility | 53 · Discontinued | $7.08 | $13.49 | $50.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $14.45 Typical High $22.39 | Professional | 52 · Reduced service | $13.80 | $14.45 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.89 Typical High $8.91 | Professional | 53 · Discontinued | $5.62 | $5.89 | $8.91 |
Where Texas sits
The same service costs 4.9 times more in Alaska 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· 12th of 51
$46.77
AK $69.18KY $14.13
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.