How much rates vary
Facilitymedian $380 · 10th to 90th $174 to $891Professionalmedian $200 · 10th to 90th $5 to $1,230
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 $102.33 Median $234.42 Typical High $891.25 | Facility | None | $102.33 | $234.42 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $208.93 | Professional | None | $87.10 | $102.33 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | None | $81.28 | $81.28 | $100.00 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $602.56 Typical High $954.99 | Facility | None | $257.04 | $602.56 | $954.99 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $91.20 Typical High $223.87 | Professional | None | $5.01 | $91.20 | $223.87 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $354.81 Typical High $512.86 | Facility | None | $147.91 | $354.81 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $281.84 | Professional | None | $93.33 | $125.89 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,230.27 | Professional | None | $812.83 | $1,230.27 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $234.42 Typical High $891.25 | Facility | None | $107.15 | $234.42 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $165.96 | Professional | None | $87.10 | $107.15 | $165.96 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | None | $138.04 | $138.04 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $346.74 | Professional | None | $162.18 | $177.83 | $346.74 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $398.11 Typical High $891.25 | Facility | None | $144.54 | $398.11 | $891.25 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $162.18 Typical High $281.84 | Professional | None | $93.33 | $162.18 | $281.84 |
United Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $162.18 | Facility | None | $58.88 | $69.18 | $162.18 |
United Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $134.90 | Professional | None | $69.18 | $93.33 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | None | $81.28 | $81.28 | $85.11 |
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 $53.70 Median $117.49 Typical High $446.68 | Facility | 52 · Reduced service | $53.70 | $117.49 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $46.77 Typical High $177.83 | Facility | 53 · Discontinued | $21.88 | $46.77 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $51.29 Typical High $77.62 | Professional | 52 · Reduced service | $48.98 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $30.90 | Professional | 53 · Discontinued | $19.50 | $20.89 | $30.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $61.66 Median $117.49 Typical High $446.68 | Facility | 52 · Reduced service | $61.66 | $117.49 | $446.68 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $46.77 Typical High $177.83 | Facility | 53 · Discontinued | $24.55 | $46.77 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $51.29 | $66.07 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $20.42 | $26.30 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 8th of 51
$224
AK $372CT $97.72
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.