How much rates vary
Facilitymedian $275 · 10th to 90th $141 to $661Professionalmedian $148 · 10th to 90th $5 to $912
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 $79.43 Median $173.78 Typical High $660.69 | Facility | None | $79.43 | $173.78 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $75.86 Typical High $114.82 | Professional | None | $7.94 | $75.86 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $123.03 | Professional | None | $60.26 | $74.13 | $123.03 |
BCBS Texas Setting Facility Modifier None Typical Low $169.82 Median $416.87 Typical High $707.95 | Facility | None | $169.82 | $416.87 | $707.95 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $67.61 Typical High $165.96 | Professional | None | $5.01 | $67.61 | $165.96 |
Christus Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $263.03 Typical High $380.19 | Facility | None | $117.49 | $263.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $234.42 | Professional | None | $69.18 | $85.11 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $912.01 | Professional | None | $602.56 | $912.01 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $229.09 Typical High $588.84 | Facility | None | $91.20 | $229.09 | $588.84 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $75.86 Typical High $123.03 | Professional | None | $7.94 | $75.86 | $123.03 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None | $102.33 | $102.33 | $123.03 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $257.04 | Professional | None | $123.03 | $131.83 | $257.04 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $295.12 Typical High $660.69 | Facility | None | $104.71 | $295.12 | $660.69 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $229.09 | Professional | None | $69.18 | $85.11 | $229.09 |
United Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $123.03 | Facility | None | $43.65 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $100.00 | Professional | None | $51.29 | $69.18 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $123.03 Typical High $165.96 | Professional | None | $63.10 | $123.03 | $165.96 |
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 $40.74 Median $87.10 Typical High $331.13 | Facility | 52 · Reduced service | $40.74 | $87.10 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $34.67 Typical High $131.83 | Facility | 53 · Discontinued | $16.22 | $34.67 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.02 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $38.02 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.49 Typical High $22.91 | Professional | 53 · Discontinued | $14.45 | $15.49 | $22.91 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $45.71 Median $87.10 Typical High $331.13 | Facility | 52 · Reduced service | $45.71 | $87.10 | $331.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $34.67 Typical High $131.83 | Facility | 53 · Discontinued | $18.20 | $34.67 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.02 Typical High $48.98 | Professional | 52 · Reduced service | $36.31 | $38.02 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $14.45 | $15.14 | $19.50 |
Where Texas sits
The same service costs 4.4 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· 7th of 51
$170
AK $275AL $63.10
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.