How much rates vary
Facilitymedian $60 · 10th to 90th $31 to $98Professionalmedian $56 · 10th to 90th $44 to $741
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 $41.69 Median $42.66 Typical High $44.67 | Facility | None | $41.69 | $42.66 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $42.66 | $44.67 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $48.98 | $48.98 | $74.13 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $45.71 | $45.71 | $57.54 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $43.65 | $43.65 | $60.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $537.03 | $741.31 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $97.72 | Facility | None | $30.90 | $51.29 | $97.72 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $42.66 | $44.67 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $47.86 | $47.86 | $81.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $60.26 Typical High $97.72 | Facility | None | $30.90 | $60.26 | $97.72 |
Providence Setting Facility Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | RR · Rental | $6.03 | $6.03 | $6.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $43.65 | $43.65 | $60.26 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $32.36 | $48.98 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
1 more rate 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 |
|---|---|---|---|---|---|
Christus Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Where Texas sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 33rd of 51
$57.54
KS $110FL $43.65
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.