How much rates vary
Facilitymedian $617 · 10th to 90th $288 to $1,514Professionalmedian $275 · 10th to 90th $5 to $2,188
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 $190.55 Median $416.87 Typical High $1,584.89 | Facility | None | $190.55 | $416.87 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $239.88 | Professional | None | $162.18 | $181.97 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $177.83 Typical High $177.83 | Professional | None | $72.44 | $177.83 | $177.83 |
BCBS Texas Setting Facility Modifier None Typical Low $323.59 Median $933.25 Typical High $1,621.81 | Facility | None | $323.59 | $933.25 | $1,621.81 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $158.49 Typical High $398.11 | Professional | None | $5.01 | $158.49 | $398.11 |
Christus Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $630.96 Typical High $912.01 | Facility | None | $199.53 | $630.96 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $501.19 | Professional | None | $147.91 | $199.53 | $501.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,445.44 | $2,187.76 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $309.03 Typical High $1,412.54 | Facility | None | $79.43 | $309.03 | $1,412.54 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $275.42 | Professional | None | $173.78 | $181.97 | $275.42 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | None | $245.47 | $245.47 | $295.12 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $616.60 | Professional | None | $288.40 | $316.23 | $616.60 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $660.69 Typical High $1,230.27 | Facility | None | $223.87 | $660.69 | $1,230.27 |
Providence Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $501.19 | Professional | None | $147.91 | $288.40 | $501.19 |
United Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $288.40 | Facility | None | $104.71 | $123.03 | $288.40 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | None | $123.03 | $123.03 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $389.05 | Professional | None | $151.36 | $288.40 | $389.05 |
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 $95.50 Median $208.93 Typical High $794.33 | Facility | 52 · Reduced service | $95.50 | $208.93 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $83.18 Typical High $316.23 | Facility | 53 · Discontinued | $38.90 | $83.18 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $91.20 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $36.31 | $54.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $109.65 Median $208.93 Typical High $794.33 | Facility | 52 · Reduced service | $109.65 | $208.93 | $794.33 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $83.18 Typical High $316.23 | Facility | 53 · Discontinued | $43.65 | $83.18 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $91.20 Typical High $117.49 | Professional | 52 · Reduced service | $87.10 | $91.20 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $36.31 | $46.77 |
Where Texas sits
The same service costs 3.8 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· 8th of 51
$355
AK $661AL $174
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.