How much rates vary
Facilitymedian $331 · 10th to 90th $162 to $776Professionalmedian $178 · 10th to 90th $5 to $1,096
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 $89.13 Median $208.93 Typical High $776.25 | Facility | None | $89.13 | $208.93 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $89.13 Typical High $194.98 | Professional | None | $7.94 | $89.13 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $512.86 Typical High $851.14 | Facility | None | $229.09 | $512.86 | $851.14 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $79.43 Typical High $194.98 | Professional | None | $5.01 | $79.43 | $194.98 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $446.68 | Facility | None | $131.83 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $245.47 | Professional | None | $81.28 | $112.20 | $245.47 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,096.48 | Professional | None | $724.44 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $173.78 Typical High $776.25 | Facility | None | $91.20 | $173.78 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $91.20 Typical High $181.97 | Professional | None | $52.48 | $91.20 | $181.97 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | None | $123.03 | $123.03 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $309.03 | Professional | None | $144.54 | $158.49 | $309.03 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $354.81 Typical High $776.25 | Facility | None | $128.82 | $354.81 | $776.25 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $245.47 | Professional | None | $81.28 | $141.25 | $245.47 |
United Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $144.54 | Facility | None | $52.48 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $117.49 | Professional | None | $60.26 | $83.18 | $117.49 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | None | $70.79 | $70.79 | $75.86 |
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 $47.86 Median $104.71 Typical High $389.05 | Facility | 52 · Reduced service | $47.86 | $104.71 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $41.69 Typical High $158.49 | Facility | 53 · Discontinued | $19.05 | $41.69 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $27.54 | Professional | 53 · Discontinued | $17.38 | $18.20 | $27.54 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $104.71 Typical High $389.05 | Facility | 52 · Reduced service | $54.95 | $104.71 | $389.05 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $41.69 Typical High $158.49 | Facility | 53 · Discontinued | $21.88 | $41.69 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $43.65 | $44.67 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $22.91 | Professional | 53 · Discontinued | $17.38 | $17.78 | $22.91 |
Where Texas sits
The same service costs 4.9 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· 6th of 51
$204
AK $324AL $66.07
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.