How much rates vary
Facilitymedian $229 · 10th to 90th $83 to $457Professionalmedian $102 · 10th to 90th $5 to $617
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 $56.23 Median $120.23 Typical High $446.68 | Facility | None | $56.23 | $120.23 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $51.29 Typical High $87.10 | Professional | None | $7.94 | $51.29 | $87.10 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $478.63 | Facility | None | $114.82 | $288.40 | $478.63 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $46.77 Typical High $112.20 | Professional | None | $5.01 | $46.77 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $181.97 Typical High $257.04 | Facility | None | $58.88 | $181.97 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $154.88 | Professional | None | $42.66 | $63.10 | $154.88 |
Lucent Health Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $616.60 | Professional | None | $416.87 | $616.60 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $446.68 | Facility | None | $56.23 | $100.00 | $446.68 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $51.29 Typical High $79.43 | Professional | None | $7.94 | $51.29 | $79.43 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $177.83 | Professional | None | $83.18 | $89.13 | $177.83 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $190.55 Typical High $363.08 | Facility | None | $66.07 | $190.55 | $363.08 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $141.25 | Professional | None | $42.66 | $87.10 | $141.25 |
United Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $83.18 | Facility | None | $30.20 | $34.67 | $83.18 |
United Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | None | $34.67 | $34.67 | $57.54 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $83.18 Typical High $112.20 | Professional | None | $42.66 | $83.18 | $112.20 |
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 $27.54 Median $60.26 Typical High $223.87 | Facility | 52 · Reduced service | $27.54 | $60.26 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $23.99 Typical High $89.13 | Facility | 53 · Discontinued | $11.22 | $23.99 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $26.30 Typical High $38.90 | Professional | 52 · Reduced service | $25.12 | $26.30 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $15.49 | Professional | 53 · Discontinued | $10.00 | $10.47 | $15.49 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $31.62 Median $60.26 Typical High $223.87 | Facility | 52 · Reduced service | $31.62 | $60.26 | $223.87 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $23.99 Typical High $89.13 | Facility | 53 · Discontinued | $12.59 | $23.99 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.70 Typical High $33.11 | Professional | 52 · Reduced service | $25.12 | $25.70 | $33.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.23 Typical High $13.18 | Professional | 53 · Discontinued | $10.00 | $10.23 | $13.18 |
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· 2nd of 51
$170
AK $186NE $54.95
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.