How much rates vary
Facilitymedian $347 · 10th to 90th $155 to $708Professionalmedian $1,288 · 10th to 90th $110 to $1,950
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 $162.18 Median $338.84 Typical High $1,412.54 | Facility | None | $162.18 | $338.84 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $154.88 | $165.96 | $245.47 |
BCBS Texas Setting Facility Modifier None Typical Low $128.82 Median $338.84 Typical High $630.96 | Facility | None | $128.82 | $338.84 | $630.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Baylor Scott & White Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $426.58 | Facility | None | $234.42 | $323.59 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $562.34 Typical High $812.83 | Facility | None | $177.83 | $562.34 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,288.25 | $1,949.84 | $1,949.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,949.84 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $288.40 Typical High $1,258.93 | Facility | None | $165.96 | $288.40 | $1,258.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $154.88 | $165.96 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $263.03 | $281.84 | $549.54 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $630.96 Typical High $1,412.54 | Facility | None | $194.98 | $630.96 | $1,412.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $263.03 | $275.42 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $109.65 | $109.65 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $134.90 | Professional | None (both parts) | $57.54 | $57.54 | $134.90 |
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 $85.11 Median $186.21 Typical High $707.95 | Facility | 52 · Reduced service | $85.11 | $186.21 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $75.86 Typical High $281.84 | Facility | 53 · Discontinued | $34.67 | $75.86 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $44.67 | Professional | 53 · Discontinued | $30.90 | $32.36 | $44.67 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $707.95 | Facility | 52 · Reduced service | $97.72 | $186.21 | $707.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $281.84 | Facility | 53 · Discontinued | $39.81 | $75.86 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $30.90 | $32.36 | $41.69 |
Where Texas sits
The same service costs 5.4 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· 3rd of 51
$427
AK $589OH $110
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.