How much rates vary
Facilitymedian $490 · 10th to 90th $174 to $955Professionalmedian $214 · 10th to 90th $5 to $1,288
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 $933.25 | Facility | None | $114.82 | $251.19 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $107.15 Typical High $147.91 | Professional | None | $7.94 | $107.15 | $147.91 |
BCBS Texas Setting Facility Modifier None Typical Low $263.03 Median $630.96 Typical High $1,000.00 | Facility | None | $263.03 | $630.96 | $1,000.00 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $95.50 Typical High $234.42 | Professional | None | $5.01 | $95.50 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $371.54 Typical High $537.03 | Facility | None | $134.90 | $371.54 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $295.12 | Professional | None | $89.13 | $117.49 | $295.12 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,288.25 | Professional | None | $870.96 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $933.25 | Facility | None | $114.82 | $208.93 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $107.15 Typical High $162.18 | Professional | None | $7.94 | $107.15 | $162.18 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None | $144.54 | $144.54 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $371.54 | Professional | None | $173.78 | $186.21 | $371.54 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $426.58 Typical High $851.14 | Facility | None | $147.91 | $426.58 | $851.14 |
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 $61.66 Median $72.44 Typical High $173.78 | Facility | None | $61.66 | $72.44 | $173.78 |
United Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $123.03 | Professional | None | $72.44 | $85.11 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $234.42 | Professional | None | $89.13 | $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 $123.03 Typical High $467.74 | Facility | 52 · Reduced service | $57.54 | $123.03 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $186.21 | Facility | 53 · Discontinued | $22.91 | $50.12 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $20.89 | $21.88 | $32.36 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $123.03 Typical High $467.74 | Facility | 52 · Reduced service | $64.57 | $123.03 | $467.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $186.21 | Facility | 53 · Discontinued | $26.30 | $50.12 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $51.29 | $53.70 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $20.89 | $21.38 | $27.54 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 4th of 51
$324
AK $389DE $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.