How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,820 to $9,772Professionalmedian $2,239 · 10th to 90th $5 to $13,804
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 $1,202.26 Median $2,630.27 Typical High $9,772.37 | Facility | None | $1,202.26 | $2,630.27 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,148.15 | $1,819.70 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,122.02 | $1,258.93 |
BCBS Texas Setting Facility Modifier None Typical Low $2,511.89 Median $6,309.57 Typical High $10,715.19 | Facility | None | $2,511.89 | $6,309.57 | $10,715.19 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $1,000.00 Typical High $2,454.71 | Professional | None | $5.01 | $1,000.00 | $2,454.71 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,819.70 | $2,570.40 |
Christus Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,981.07 Typical High $5,754.40 | Facility | None | $1,778.28 | $3,981.07 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $3,548.13 | Professional | None | $1,023.29 | $1,258.93 | $3,548.13 |
Health Smart Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $9,120.11 Median $13,803.84 Typical High $13,803.84 | Professional | None | $9,120.11 | $13,803.84 | $13,803.84 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $9,120.11 | Facility | None | $1,202.26 | $2,187.76 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,202.26 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,548.82 | $1,819.70 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,819.70 | $1,995.26 | $3,890.45 |
Providence Setting Facility Modifier None Typical Low $1,548.82 Median $4,466.84 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,466.84 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $3,388.44 | Professional | None | $1,023.29 | $1,258.93 | $3,388.44 |
United Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,819.70 | Facility | None | $660.69 | $758.58 | $1,819.70 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,479.11 | Professional | None | $758.58 | $1,047.13 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,454.71 | Professional | None | $954.99 | $1,819.70 | $2,454.71 |
8 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 Facility Modifier 52 · Reduced service Typical Low $616.60 Median $1,318.26 Typical High $4,897.79 | Facility | 52 · Reduced service | $616.60 | $1,318.26 | $4,897.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $245.47 Median $524.81 Typical High $1,995.26 | Facility | 53 · Discontinued | $245.47 | $524.81 | $1,995.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $575.44 Typical High $851.14 | Professional | 52 · Reduced service | $549.54 | $575.44 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | 53 · Discontinued | $218.78 | $229.09 | $346.74 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $691.83 Median $1,318.26 Typical High $4,897.79 | Facility | 52 · Reduced service | $691.83 | $1,318.26 | $4,897.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $524.81 Typical High $1,995.26 | Facility | 53 · Discontinued | $275.42 | $524.81 | $1,995.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $562.34 Typical High $724.44 | Professional | 52 · Reduced service | $549.54 | $562.34 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $295.12 | Professional | 53 · Discontinued | $218.78 | $223.87 | $295.12 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Alabama. 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· 5th of 51
$2,512
AK $4,074AL $955
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.