How much rates vary
Facilitymedian $39 · 10th to 90th $23 to $126Professionalmedian $13 · 10th to 90th $5 to $18
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 $16.22 Median $34.67 Typical High $128.82 | Facility | None | $16.22 | $34.67 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $28.84 | Professional | None | $14.45 | $15.14 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $12.59 | Professional | None | $10.00 | $10.72 | $12.59 |
BCBS Texas Setting Facility Modifier None Typical Low $32.36 Median $81.28 Typical High $138.04 | Facility | None | $32.36 | $81.28 | $138.04 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $13.18 Typical High $13.80 | Professional | None | $5.01 | $13.18 | $13.80 |
Christus Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $52.48 Typical High $75.86 | Facility | None | $15.49 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $25.12 | Professional | None | $12.88 | $12.88 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Moda Health Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $89.13 | Facility | None | $18.20 | $23.99 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $23.44 | Professional | None | $14.45 | $15.85 | $23.44 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $23.99 | Professional | None | $18.20 | $23.99 | $23.99 |
Oscar Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Providence Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $75.86 | Facility | None | $17.78 | $27.54 | $75.86 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | None | $12.88 | $12.88 | $21.38 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.00 Typical High $23.99 | Facility | None | $8.71 | $10.00 | $23.99 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $19.05 | Professional | None | $10.00 | $13.80 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
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 $8.13 Median $17.38 Typical High $64.57 | Facility | 52 · Reduced service | $8.13 | $17.38 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $6.92 Typical High $26.30 | Facility | 53 · Discontinued | $3.24 | $6.92 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.94 Typical High $15.49 | Professional | 52 · Reduced service | $7.24 | $7.94 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.16 Typical High $6.17 | Professional | 53 · Discontinued | $2.88 | $3.16 | $6.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.12 Median $17.38 Typical High $64.57 | Facility | 52 · Reduced service | $9.12 | $17.38 | $64.57 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $6.92 Typical High $26.30 | Facility | 53 · Discontinued | $3.63 | $6.92 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $11.75 | Professional | 52 · Reduced service | $7.24 | $7.59 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $4.68 | Professional | 53 · Discontinued | $2.88 | $3.02 | $4.68 |
Where Texas sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 29th of 51
$21.88
HI $54.95MD $15.14
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.