How much rates vary
Facilitymedian $468 · 10th to 90th $42 to $631Professionalmedian $575 · 10th to 90th $42 to $8,511
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 $41.69 Median $50.12 Typical High $630.96 | Facility | None | $41.69 | $50.12 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $891.25 | Professional | None | $41.69 | $50.12 | $891.25 |
BCBS Texas Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $1,258.93 | Professional | None | $512.86 | $616.60 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $912.01 | Professional | None | $524.81 | $575.44 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $8,511.38 | Professional | None | $2,884.03 | $2,884.03 | $8,511.38 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $501.19 Typical High $630.96 | Facility | None | $41.69 | $501.19 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $891.25 | Professional | None | $41.69 | $50.12 | $891.25 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $912.01 | Professional | None | $186.21 | $245.47 | $912.01 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $54.95 | Professional | None | $18.20 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $870.96 | Professional | None | $524.81 | $575.44 | $870.96 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
3 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 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | QZ · CRNA, independent | $1,819.70 | $1,819.70 | $1,819.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |