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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
BCBS Texas Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $457.09 | Facility | None | $100.00 | $239.88 | $457.09 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $281.84 Typical High $380.19 | Facility | None | $87.10 | $281.84 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $446.68 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $416.87 Typical High $436.52 | Facility | None | $173.78 | $416.87 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $602.56 Typical High $630.96 | Professional | None (both parts) | $39.81 | $602.56 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | None (both parts) | $30.20 | $30.20 | $100.00 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $323.59 Typical High $407.38 | Facility | None | $77.62 | $323.59 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $60.26 | $79.43 | $125.89 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
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 Professional Modifier 26 · Professional part Typical Low $21.88 Median $72.44 Typical High $602.56 | Professional | 26 · Professional part | $21.88 | $72.44 | $602.56 |
Where Texas sits
The same service costs 14.5 times more in New Hampshire 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.
Texas· 29th of 49
$166
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.