How much rates vary
Facilitymedian $1,175 · 10th to 90th $355 to $2,951Professionalmedian $692 · 10th to 90th $5 to $4,169
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 $371.54 Median $794.33 Typical High $3,019.95 | Facility | None | $371.54 | $794.33 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $676.08 | Professional | None | $331.13 | $371.54 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $338.84 Typical High $338.84 | Professional | None | $138.04 | $338.84 | $338.84 |
BCBS Texas Setting Facility Modifier None Typical Low $776.25 Median $1,949.84 Typical High $3,235.94 | Facility | None | $776.25 | $1,949.84 | $3,235.94 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $309.03 Typical High $758.58 | Professional | None | $5.01 | $309.03 | $758.58 |
Christus Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $1,047.13 Typical High $1,698.24 | Facility | None | $218.78 | $1,047.13 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $954.99 | Professional | None | $281.84 | $416.87 | $954.99 |
Health Smart Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,754.23 | $4,168.69 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $2,691.53 | Facility | None | $371.54 | $660.69 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $575.44 | Professional | None | $331.13 | $371.54 | $575.44 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None | $467.74 | $467.74 | $562.34 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $1,174.90 | Professional | None | $562.34 | $602.56 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $1,047.13 Typical High $2,187.76 | Facility | None | $363.08 | $1,047.13 | $2,187.76 |
Providence Setting Professional Modifier None Typical Low $281.84 Median $575.44 Typical High $977.24 | Professional | None | $281.84 | $575.44 | $977.24 |
United Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $562.34 | Facility | None | $199.53 | $234.42 | $562.34 |
United Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $389.05 | Professional | None | $234.42 | $234.42 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $562.34 Typical High $758.58 | Professional | None | $288.40 | $562.34 | $758.58 |
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 $186.21 Median $398.11 Typical High $1,513.56 | Facility | 52 · Reduced service | $186.21 | $398.11 | $1,513.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $158.49 Typical High $602.56 | Facility | 53 · Discontinued | $74.13 | $158.49 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $173.78 Typical High $263.03 | Professional | 52 · Reduced service | $165.96 | $173.78 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $104.71 | Professional | 53 · Discontinued | $66.07 | $70.79 | $104.71 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $208.93 Median $398.11 Typical High $1,513.56 | Facility | 52 · Reduced service | $208.93 | $398.11 | $1,513.56 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $158.49 Typical High $602.56 | Facility | 53 · Discontinued | $85.11 | $158.49 | $602.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $173.78 Typical High $223.87 | Professional | 52 · Reduced service | $165.96 | $173.78 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $69.18 Typical High $89.13 | Professional | 53 · Discontinued | $66.07 | $69.18 | $89.13 |
Where Texas sits
The same service costs 4.6 times more in Kansas than in Oklahoma. 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
$759
KS $1,514OK $331
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.