How much rates vary
Facilitymedian $417 · 10th to 90th $191 to $1,023Professionalmedian $240 · 10th to 90th $5 to $1,445
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 $120.23 Median $251.19 Typical High $977.24 | Facility | None | $120.23 | $251.19 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $120.23 Typical High $165.96 | Professional | None | $7.94 | $120.23 | $165.96 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $630.96 Typical High $1,122.02 | Facility | None | $251.19 | $630.96 | $1,122.02 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $107.15 Typical High $263.03 | Professional | None | $5.01 | $107.15 | $263.03 |
Christus Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $416.87 Typical High $602.56 | Facility | None | $141.25 | $416.87 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $302.00 | Professional | None | $87.10 | $123.03 | $302.00 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $1,445.44 | Professional | None | $977.24 | $1,445.44 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $933.25 | Facility | None | $128.82 | $234.42 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $120.23 Typical High $181.97 | Professional | None | $7.94 | $120.23 | $181.97 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | None | $162.18 | $162.18 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $407.38 | Professional | None | $194.98 | $208.93 | $407.38 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $446.68 Typical High $851.14 | Facility | None | $158.49 | $446.68 | $851.14 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $302.00 | Professional | None | $87.10 | $134.90 | $302.00 |
United Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $194.98 | Facility | None | $69.18 | $81.28 | $194.98 |
United Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $134.90 | Professional | None | $81.28 | $83.18 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $194.98 Typical High $263.03 | Professional | None | $100.00 | $194.98 | $263.03 |
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 $63.10 Median $138.04 Typical High $524.81 | Facility | 52 · Reduced service | $63.10 | $138.04 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $56.23 Typical High $208.93 | Facility | 53 · Discontinued | $25.70 | $56.23 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $60.26 Typical High $91.20 | Professional | 52 · Reduced service | $57.54 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $24.55 Typical High $36.31 | Professional | 53 · Discontinued | $23.44 | $24.55 | $36.31 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $72.44 Median $138.04 Typical High $524.81 | Facility | 52 · Reduced service | $72.44 | $138.04 | $524.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $56.23 Typical High $208.93 | Facility | 53 · Discontinued | $29.51 | $56.23 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $57.54 | $60.26 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $23.44 | $23.99 | $30.90 |
Where Texas sits
The same service costs 3.7 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· 5th of 51
$263
AK $437DE $117
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.