How much rates vary
Facilitymedian $759 · 10th to 90th $263 to $1,445Professionalmedian $355 · 10th to 90th $5 to $1,950
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 $173.78 Median $371.54 Typical High $1,412.54 | Facility | None | $173.78 | $371.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $234.42 | Professional | None | $144.54 | $162.18 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $1,513.56 | Facility | None | $398.11 | $912.01 | $1,513.56 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $147.91 Typical High $354.81 | Professional | None | $5.01 | $147.91 | $354.81 |
Baylor Scott & White Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $1,412.54 | Facility | None | $263.03 | $380.19 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $562.34 Typical High $812.83 | Facility | None | $234.42 | $562.34 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $446.68 | Professional | None | $147.91 | $199.53 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,949.84 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $1,412.54 | Facility | None | $165.96 | $316.23 | $1,412.54 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $245.47 | Professional | None | $154.88 | $165.96 | $245.47 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $549.54 | Professional | None | $263.03 | $281.84 | $549.54 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $630.96 Typical High $1,412.54 | Facility | None | $229.09 | $630.96 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $446.68 | Professional | None | $147.91 | $263.03 | $446.68 |
United Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $263.03 | Facility | None | $93.33 | $109.65 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $213.80 | Professional | None | $109.65 | $147.91 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $263.03 Typical High $354.81 | Professional | None | $134.90 | $263.03 | $354.81 |
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 $87.10 Median $186.21 Typical High $707.95 | Facility | 52 · Reduced service | $87.10 | $186.21 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $75.86 Typical High $281.84 | Facility | 53 · Discontinued | $34.67 | $75.86 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $81.28 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.11 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $33.11 | $48.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $707.95 | Facility | 52 · Reduced service | $97.72 | $186.21 | $707.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $281.84 | Facility | 53 · Discontinued | $39.81 | $75.86 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $32.36 | $41.69 |
Where Texas sits
The same service costs 3.4 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· 2nd of 51
$550
AK $589AL $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.