How much rates vary
Facilitymedian $141 · 10th to 90th $49 to $7,586Professionalmedian $12,303 · 10th to 90th $1,023 to $18,197
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 $1,621.81 Median $3,162.28 Typical High $13,182.57 | Facility | None | $1,621.81 | $3,162.28 | $13,182.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,513.56 Typical High $2,089.30 | Professional | None (both parts) | $1,479.11 | $1,513.56 | $2,089.30 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $85.11 Typical High $162.18 | Facility | None | $39.81 | $85.11 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $5,370.32 Typical High $7,585.78 | Facility | None | $1,659.59 | $5,370.32 | $7,585.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,302.69 Median $18,197.01 Typical High $18,197.01 | Professional | None (both parts) | $12,302.69 | $18,197.01 | $18,197.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $18,197.01 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $18,197.01 |
Moda Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,951.21 Typical High $12,022.64 | Facility | None | $1,621.81 | $2,951.21 | $12,022.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,548.82 Typical High $2,290.87 | Professional | None (both parts) | $1,479.11 | $1,548.82 | $2,290.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,630.27 Typical High $5,248.07 | Professional | None (both parts) | $2,454.71 | $2,630.27 | $5,248.07 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $6,025.60 Typical High $13,182.57 | Facility | None | $1,819.70 | $6,025.60 | $13,182.57 |
Providence Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,570.40 Typical High $4,466.84 | Professional | None (both parts) | $2,454.71 | $2,570.40 | $4,466.84 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $2,454.71 | Facility | None | $891.25 | $1,023.29 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,698.24 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,698.24 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,454.71 Typical High $3,311.31 | Professional | None (both parts) | $1,258.93 | $2,454.71 | $3,311.31 |
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 $812.83 Median $1,778.28 Typical High $6,606.93 | Facility | 52 · Reduced service | $812.83 | $1,778.28 | $6,606.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $707.95 Typical High $2,630.27 | Facility | 53 · Discontinued | $323.59 | $707.95 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $758.58 Typical High $1,047.13 | Professional | 52 · Reduced service | $741.31 | $758.58 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $302.00 Typical High $416.87 | Professional | 53 · Discontinued | $295.12 | $302.00 | $416.87 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $933.25 Median $1,778.28 Typical High $6,606.93 | Facility | 52 · Reduced service | $933.25 | $1,778.28 | $6,606.93 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $707.95 Typical High $2,630.27 | Facility | 53 · Discontinued | $371.54 | $707.95 | $2,630.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $758.58 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $758.58 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $302.00 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $302.00 | $389.05 |
Where Texas sits
The same service costs 8.9 times more in Alaska than in Ohio. 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
$4,467
AK $5,495OH $617
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.