How much rates vary
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 $891.25 Median $912.01 Typical High $1,122.02 | Facility | None | $891.25 | $912.01 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,380.38 | Professional | None | $891.25 | $1,122.02 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
BCBS Texas Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,412.54 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,479.11 Typical High $2,691.53 | Facility | None | $537.03 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,148.15 | $1,862.09 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $9,549.93 | Professional | None | $8,128.31 | $8,128.31 | $9,549.93 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,621.81 | Facility | None | $912.01 | $1,148.15 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,584.89 | Professional | None | $891.25 | $1,122.02 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $851.14 Typical High $1,148.15 | Professional | None | $154.88 | $851.14 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $2,691.53 | Facility | None | $630.96 | $1,230.27 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,148.15 | $1,819.70 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,041.74 Typical High $8,912.51 | Facility | None | $407.38 | $2,041.74 | $8,912.51 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,737.80 | Professional | None | $891.25 | $1,174.90 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
4 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 $446.68 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $199.53 | $223.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $489.78 | $562.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $199.53 | $223.87 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 49th of 51
$1,122
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.