How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $53.70 Median $53.70 Typical High $75.86 | Facility | None | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $91.20 | Professional | None | $53.70 | $69.18 | $91.20 |
BCBS Texas Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $331.13 | Professional | None | $66.07 | $77.62 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | None | $588.84 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $104.71 | Facility | None | $53.70 | $83.18 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $93.33 | Professional | None | $53.70 | $69.18 | $93.33 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $57.54 Typical High $74.13 | Professional | None | $10.72 | $57.54 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $199.53 | Professional | None | $91.20 | $104.71 | $199.53 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $128.82 | Facility | None | $53.70 | $87.10 | $128.82 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $147.91 | Professional | None | $74.13 | $102.33 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
4 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 Professional Modifier 52 · Reduced service Typical Low $26.92 Median $34.67 Typical High $45.71 | Professional | 52 · Reduced service | $26.92 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $18.20 | Professional | 53 · Discontinued | $10.72 | $13.80 | $18.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $34.67 Typical High $44.67 | Professional | 52 · Reduced service | $26.92 | $34.67 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $17.78 | Professional | 53 · Discontinued | $10.72 | $13.80 | $17.78 |
Where Texas sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 51st of 51
$81.28
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.