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 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 |
BCBS Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $363.08 | Facility | None | $79.43 | $213.80 | $363.08 |
BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $85.11 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $245.47 Typical High $380.19 | Facility | None | $79.43 | $245.47 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $446.68 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $630.96 | Facility | None | $199.53 | $398.11 | $630.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $263.03 | $724.44 | $724.44 |
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 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $263.03 Typical High $446.68 | Facility | None | $61.66 | $263.03 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $707.95 | Professional | None (both parts) | $60.26 | $79.43 | $707.95 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
2 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 TC · Technical part Typical Low $41.69 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $51.29 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $51.29 | $63.10 |
Where Texas sits
The same service costs 20.9 times more in New Hampshire than in Delaware. 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· 21st of 51
$195
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.