How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,072 to $6,761Professionalmedian $851 · 10th to 90th $135 to $6,310
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 $977.24 Median $3,311.31 Typical High $9,120.11 | Facility | None | $977.24 | $3,311.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,348.96 | Professional | None | $707.95 | $891.25 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $4,168.69 Typical High $8,709.64 | Facility | None | $2,398.83 | $4,168.69 | $8,709.64 |
BCBS Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,621.81 | Professional | None | $660.69 | $812.83 | $1,621.81 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Christus Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,137.96 Typical High $2,884.03 | Facility | None | $758.58 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,513.56 | Professional | None | $851.14 | $891.25 | $1,513.56 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $7,244.36 | Professional | None | $6,309.57 | $6,309.57 | $7,244.36 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $2,290.87 Typical High $6,025.60 | Facility | None | $794.33 | $2,290.87 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,348.96 | Professional | None | $707.95 | $891.25 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $645.65 Typical High $870.96 | Professional | None | $117.49 | $645.65 | $870.96 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $2,884.03 | Facility | None | $794.33 | $2,137.96 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,479.11 | Professional | None | $831.76 | $891.25 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,258.93 | $3,311.31 | $6,760.83 |
United Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,412.54 | Professional | None | $724.44 | $954.99 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
5 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 52 · Reduced service Typical Low $354.81 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $154.88 Typical High $177.83 | Professional | 53 · Discontinued | $141.25 | $154.88 | $177.83 |
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | U1 · State-defined | $645.65 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $389.05 | $446.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $154.88 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $154.88 | $177.83 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.