How much rates vary
Facilitymedian $676 · 10th to 90th $219 to $1,585Professionalmedian $363 · 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 $194.98 Median $426.58 Typical High $1,584.89 | Facility | None | $194.98 | $426.58 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $275.42 | Professional | None | $165.96 | $181.97 | $275.42 |
BCBS Texas Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,737.80 | Facility | None | $467.74 | $1,047.13 | $1,737.80 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $162.18 Typical High $398.11 | Professional | None | $5.01 | $162.18 | $398.11 |
Christus Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $645.65 Typical High $912.01 | Facility | None | $269.15 | $645.65 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $501.19 | Professional | None | $165.96 | $223.87 | $501.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,479.11 | $2,187.76 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $1,584.89 | Facility | None | $194.98 | $354.81 | $1,584.89 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $281.84 | Professional | None | $177.83 | $186.21 | $281.84 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None | $245.47 | $245.47 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $630.96 | Professional | None | $295.12 | $316.23 | $630.96 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $724.44 Typical High $1,584.89 | Facility | None | $263.03 | $724.44 | $1,584.89 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $501.19 | Professional | None | $165.96 | $288.40 | $501.19 |
United Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $295.12 | Facility | None | $107.15 | $123.03 | $295.12 |
United Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $239.88 | Professional | None | $123.03 | $169.82 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None | $144.54 | $144.54 | $151.36 |
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 $97.72 Median $213.80 Typical High $794.33 | Facility | 52 · Reduced service | $97.72 | $213.80 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $85.11 Typical High $316.23 | Facility | 53 · Discontinued | $38.90 | $85.11 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $93.33 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $93.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $37.15 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $37.15 | $54.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $112.20 Median $213.80 Typical High $794.33 | Facility | 52 · Reduced service | $112.20 | $213.80 | $794.33 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $85.11 Typical High $316.23 | Facility | 53 · Discontinued | $44.67 | $85.11 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $91.20 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $91.20 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $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· 6th of 51
$398
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.