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 $812.83 Median $2,398.83 Typical High $6,918.31 | Facility | None | $812.83 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $2,754.23 Typical High $10,964.78 | Professional | None | $891.25 | $2,754.23 | $10,964.78 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $1,023.29 | Facility | None | $165.96 | $316.23 | $1,023.29 |
Christus Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,691.53 | Facility | None | $630.96 | $1,258.93 | $2,691.53 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $1,621.81 Typical High $6,918.31 | Facility | None | $645.65 | $1,621.81 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $524.81 Typical High $4,786.30 | Professional | None | $169.82 | $524.81 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Facility Modifier None Typical Low $6,165.95 Median $7,244.36 Typical High $7,943.28 | Facility | None | $6,165.95 | $7,244.36 | $7,943.28 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $251,188.64 | Facility | None | $724.44 | $1,995.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | None | $60.26 | $60.26 | $79.43 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier XP · Separate practitioner Typical Low $239.88 Median $691.83 Typical High $1,318.26 | Facility | XP · Separate practitioner | $239.88 | $691.83 | $1,318.26 |
Where Texas sits
The same service costs 100.0 times more in Kentucky than in Hawaii. 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· 36th of 51
$437
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.