How much rates vary
Facilitymedian $955 · 10th to 90th $417 to $1,995Professionalmedian $3,020 · 10th to 90th $257 to $4,571
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 $398.11 Median $794.33 Typical High $3,311.31 | Facility | None | $398.11 | $794.33 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $363.08 | $380.19 | $512.86 |
BCBS Texas Setting Facility Modifier None Typical Low $426.58 Median $912.01 Typical High $1,737.80 | Facility | None | $426.58 | $912.01 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,318.26 Typical High $1,905.46 | Facility | None | $416.87 | $1,318.26 | $1,905.46 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $4,570.88 Typical High $4,570.88 | Professional | None (both parts) | $3,019.95 | $4,570.88 | $4,570.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $4,570.88 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $4,570.88 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $724.44 Typical High $3,311.31 | Facility | None | $380.19 | $724.44 | $3,311.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $363.08 | $380.19 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $1,288.25 | Professional | None (both parts) | $602.56 | $660.69 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $1,479.11 Typical High $3,311.31 | Facility | None | $457.09 | $1,479.11 | $3,311.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $602.56 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $645.65 | $1,096.48 |
United Setting Facility Modifier None Typical Low $218.78 Median $257.04 Typical High $602.56 | Facility | None | $218.78 | $257.04 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $257.04 | $257.04 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $112.20 | $112.20 | $316.23 |
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 $199.53 Median $436.52 Typical High $1,659.59 | Facility | 52 · Reduced service | $199.53 | $436.52 | $1,659.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $173.78 Typical High $660.69 | Facility | 53 · Discontinued | $79.43 | $173.78 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $190.55 Typical High $263.03 | Professional | 52 · Reduced service | $181.97 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $104.71 | Professional | 53 · Discontinued | $72.44 | $75.86 | $104.71 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $229.09 Median $436.52 Typical High $1,659.59 | Facility | 52 · Reduced service | $229.09 | $436.52 | $1,659.59 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $173.78 Typical High $660.69 | Facility | 53 · Discontinued | $91.20 | $173.78 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $190.55 Typical High $245.47 | Professional | 52 · Reduced service | $181.97 | $190.55 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $97.72 | Professional | 53 · Discontinued | $72.44 | $75.86 | $97.72 |
Where Texas sits
The same service costs 21.9 times more in Alaska than in Alabama. 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· 2nd of 51
$1,318
AK $1,380AL $63.10
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.