How much rates vary
Facilitymedian $347 · 10th to 90th $126 to $741Professionalmedian $155 · 10th to 90th $5 to $933
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 $83.18 Median $177.83 Typical High $676.08 | Facility | None | $83.18 | $177.83 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $77.62 Typical High $125.89 | Professional | None | $7.94 | $77.62 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $173.78 Median $436.52 Typical High $831.76 | Facility | None | $173.78 | $436.52 | $831.76 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $69.18 Typical High $169.82 | Professional | None | $5.01 | $69.18 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $269.15 Typical High $389.05 | Facility | None | $89.13 | $269.15 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $194.98 | Professional | None | $54.95 | $79.43 | $194.98 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $933.25 | Professional | None | $630.96 | $933.25 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $151.36 Typical High $676.08 | Facility | None | $83.18 | $151.36 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $77.62 Typical High $125.89 | Professional | None | $7.94 | $77.62 | $125.89 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None | $104.71 | $104.71 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $269.15 | Professional | None | $125.89 | $134.90 | $269.15 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $288.40 Typical High $549.54 | Facility | None | $100.00 | $288.40 | $549.54 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $194.98 | Professional | None | $54.95 | $83.18 | $194.98 |
United Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $125.89 | Facility | None | $44.67 | $52.48 | $125.89 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $87.10 | Professional | None | $52.48 | $52.48 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $64.57 Median $125.89 Typical High $169.82 | Professional | None | $64.57 | $125.89 | $169.82 |
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 $41.69 Median $89.13 Typical High $338.84 | Facility | 52 · Reduced service | $41.69 | $89.13 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $36.31 Typical High $134.90 | Facility | 53 · Discontinued | $16.60 | $36.31 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $38.90 Typical High $58.88 | Professional | 52 · Reduced service | $37.15 | $38.90 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $23.44 | Professional | 53 · Discontinued | $15.14 | $15.85 | $23.44 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $89.13 Typical High $338.84 | Facility | 52 · Reduced service | $46.77 | $89.13 | $338.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $36.31 Typical High $134.90 | Facility | 53 · Discontinued | $19.05 | $36.31 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $38.90 Typical High $50.12 | Professional | 52 · Reduced service | $37.15 | $38.90 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $15.49 | $19.95 |
Where Texas sits
The same service costs 4.5 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
$229
AK $282AL $63.10
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.