How much rates vary
Facilitymedian $1,445 · 10th to 90th $501 to $3,311Professionalmedian $617 · 10th to 90th $5 to $3,715
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 $331.13 Median $724.44 Typical High $2,691.53 | Facility | None | $331.13 | $724.44 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $501.19 | Professional | None | $302.00 | $309.03 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
BCBS Texas Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $3,311.31 | Facility | None | $758.58 | $1,819.70 | $3,311.31 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $275.42 Typical High $676.08 | Professional | None | $5.01 | $275.42 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,000.00 Typical High $1,548.82 | Facility | None | $323.59 | $1,000.00 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $478.63 Typical High $933.25 | Professional | None | $257.04 | $478.63 | $933.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,511.89 | $3,715.35 | $3,715.35 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $2,511.89 | Facility | None | $331.13 | $602.56 | $2,511.89 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $501.19 | Professional | None | $302.00 | $309.03 | $501.19 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
Oscar Health Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $1,071.52 | Professional | None | $501.19 | $537.03 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $1,122.02 Typical High $2,041.74 | Facility | None | $354.81 | $1,122.02 | $2,041.74 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $588.84 Typical High $912.01 | Professional | None | $257.04 | $588.84 | $912.01 |
United Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $501.19 | Facility | None | $177.83 | $208.93 | $501.19 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $346.74 | Professional | None | $208.93 | $208.93 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $501.19 Typical High $676.08 | Professional | None | $257.04 | $501.19 | $676.08 |
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 $165.96 Median $363.08 Typical High $1,348.96 | Facility | 52 · Reduced service | $165.96 | $363.08 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $144.54 Typical High $537.03 | Facility | 53 · Discontinued | $67.61 | $144.54 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | 52 · Reduced service | $151.36 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $93.33 | Professional | 53 · Discontinued | $60.26 | $63.10 | $93.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $190.55 Median $363.08 Typical High $1,348.96 | Facility | 52 · Reduced service | $190.55 | $363.08 | $1,348.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $144.54 Typical High $537.03 | Facility | 53 · Discontinued | $75.86 | $144.54 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $154.88 Typical High $199.53 | Professional | 52 · Reduced service | $151.36 | $154.88 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $60.26 | $61.66 | $79.43 |
Where Texas sits
The same service costs 3.8 times more in California 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· 3rd of 51
$977
CA $1,202OK $316
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.