How much rates vary
Facilitymedian $380 · 10th to 90th $174 to $912Professionalmedian $174 · 10th to 90th $5 to $1,318
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 $114.82 Median $251.19 Typical High $954.99 | Facility | None | $114.82 | $251.19 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $107.15 Typical High $173.78 | Professional | None | $7.94 | $107.15 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $190.55 Median $562.34 Typical High $977.24 | Facility | None | $190.55 | $562.34 | $977.24 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $95.50 Typical High $239.88 | Professional | None | $5.01 | $95.50 | $239.88 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $380.19 Typical High $549.54 | Facility | None | $120.23 | $380.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $295.12 | Professional | None | $89.13 | $120.23 | $295.12 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,318.26 | Professional | None | $870.96 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $186.21 Typical High $851.14 | Facility | None | $56.23 | $186.21 | $851.14 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $107.15 Typical High $165.96 | Professional | None | $7.94 | $107.15 | $165.96 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $371.54 | Professional | None | $173.78 | $190.55 | $371.54 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $398.11 Typical High $741.31 | Facility | None | $138.04 | $398.11 | $741.31 |
Providence Setting Professional Modifier None Typical Low $89.13 Median $169.82 Typical High $295.12 | Professional | None | $89.13 | $169.82 | $295.12 |
United Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $173.78 | Facility | None | $63.10 | $74.13 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | None | $74.13 | $74.13 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $234.42 | Professional | None | $91.20 | $173.78 | $234.42 |
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 $57.54 Median $125.89 Typical High $467.74 | Facility | 52 · Reduced service | $57.54 | $125.89 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $190.55 | Facility | 53 · Discontinued | $22.91 | $50.12 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $52.48 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $21.88 | $33.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $66.07 Median $125.89 Typical High $467.74 | Facility | 52 · Reduced service | $66.07 | $125.89 | $467.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $190.55 | Facility | 53 · Discontinued | $26.30 | $50.12 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $53.70 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $21.88 | $28.18 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$214
AK $389NE $115
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.