How much rates vary
Facilitymedian $324 · 10th to 90th $324 to $324Professionalmedian $603 · 10th to 90th $40 to $3,090
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 $50.12 Typical High $691.83 | Facility | None | $41.69 | $50.12 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $933.25 | Professional | None | $41.69 | $50.12 | $933.25 |
BCBS Texas Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,348.96 | Professional | None | $562.34 | $660.69 | $1,348.96 |
Christus Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $1,000.00 | Professional | None | $575.44 | $630.96 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $549.54 Typical High $691.83 | Facility | None | $41.69 | $549.54 | $691.83 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $977.24 | Professional | None | $41.69 | $50.12 | $977.24 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $977.24 | Professional | None | $204.17 | $269.15 | $977.24 |
Oscar Health Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $54.95 | Professional | None | $18.62 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $954.99 | Professional | None | $575.44 | $630.96 | $954.99 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
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 QK · Directing 2–4 cases Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | QK · Directing 2–4 cases | $676.08 | $676.08 | $676.08 |
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 |