How much rates vary
Facilitymedian $10,000 · 10th to 90th $3,631 to $19,953Professionalmedian $17,783 · 10th to 90th $1,514 to $26,915
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 $2,398.83 Median $4,677.35 Typical High $19,498.45 | Facility | None | $2,398.83 | $4,677.35 | $19,498.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,238.72 Typical High $3,090.30 | Professional | None (both parts) | $2,137.96 | $2,238.72 | $3,090.30 |
BCBS Texas Setting Facility Modifier None Typical Low $4,786.30 Median $12,302.69 Typical High $20,892.96 | Facility | None | $4,786.30 | $12,302.69 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $7,762.47 Typical High $11,220.18 | Facility | None | $2,454.71 | $7,762.47 | $11,220.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $17,782.79 Median $26,915.35 Typical High $26,915.35 | Professional | None (both parts) | $17,782.79 | $26,915.35 | $26,915.35 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $18,197.01 Median $18,197.01 Typical High $26,915.35 | Professional | TC · Technical part | $18,197.01 | $18,197.01 | $26,915.35 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $19,498.45 | Facility | None | $2,290.87 | $4,265.80 | $19,498.45 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,290.87 Typical High $3,388.44 | Professional | None (both parts) | $2,137.96 | $2,290.87 | $3,388.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,890.45 Typical High $7,585.78 | Professional | None (both parts) | $3,630.78 | $3,890.45 | $7,585.78 |
Providence Setting Facility Modifier None Typical Low $2,691.53 Median $8,709.64 Typical High $19,498.45 | Facility | None | $2,691.53 | $8,709.64 | $19,498.45 |
Providence Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,801.89 Typical High $6,456.54 | Professional | None (both parts) | $3,630.78 | $3,801.89 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $3,630.78 | Facility | None | $1,288.25 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,511.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,862.09 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,862.09 |
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 $1,174.90 Median $2,570.40 Typical High $9,772.37 | Facility | 52 · Reduced service | $1,174.90 | $2,570.40 | $9,772.37 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $478.63 Median $1,047.13 Typical High $3,890.45 | Facility | 53 · Discontinued | $478.63 | $1,047.13 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,122.02 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,071.52 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $446.68 Typical High $616.60 | Professional | 53 · Discontinued | $436.52 | $446.68 | $616.60 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1,348.96 Median $2,570.40 Typical High $9,772.37 | Facility | 52 · Reduced service | $1,348.96 | $2,570.40 | $9,772.37 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $549.54 Median $1,047.13 Typical High $3,890.45 | Facility | 53 · Discontinued | $549.54 | $1,047.13 | $3,890.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,122.02 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,071.52 | $1,122.02 | $1,445.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $446.68 Typical High $575.44 | Professional | 53 · Discontinued | $436.52 | $446.68 | $575.44 |
Where Texas sits
The same service costs 8.9 times more in Texas than in New Mexico. 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· 1st of 51
$13,490
TX $13,490NM $1,514
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.