How much rates vary
Facilitymedian $398 · 10th to 90th $195 to $1,000Professionalmedian $186 · 10th to 90th $5 to $1,380
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 $123.03 Median $269.15 Typical High $1,000.00 | Facility | None | $123.03 | $269.15 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $114.82 Typical High $194.98 | Professional | None | $7.94 | $114.82 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $309.03 | Professional | None | $114.82 | $114.82 | $309.03 |
BCBS Texas Setting Facility Modifier None Typical Low $218.78 Median $602.56 Typical High $1,071.52 | Facility | None | $218.78 | $602.56 | $1,071.52 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $102.33 Typical High $251.19 | Professional | None | $5.01 | $102.33 | $251.19 |
Christus Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $575.44 | Facility | None | $125.89 | $398.11 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $288.40 | Professional | None | $85.11 | $117.49 | $288.40 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,380.38 | Professional | None | $912.01 | $1,380.38 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $891.25 | Facility | None | $141.25 | $346.74 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $114.82 Typical High $186.21 | Professional | None | $7.94 | $114.82 | $186.21 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $398.11 | Professional | None | $186.21 | $199.53 | $398.11 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $457.09 Typical High $1,000.00 | Facility | None | $141.25 | $457.09 | $1,000.00 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $288.40 | Professional | None | $85.11 | $125.89 | $288.40 |
United Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $186.21 | Facility | None | $66.07 | $77.62 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | None | $77.62 | $77.62 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $251.19 | Professional | None | $95.50 | $186.21 | $251.19 |
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 $61.66 Median $131.83 Typical High $501.19 | Facility | 52 · Reduced service | $61.66 | $131.83 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $53.70 Typical High $199.53 | Facility | 53 · Discontinued | $24.55 | $53.70 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $34.67 | Professional | 53 · Discontinued | $22.39 | $23.44 | $34.67 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $131.83 Typical High $501.19 | Facility | 52 · Reduced service | $70.79 | $131.83 | $501.19 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $53.70 Typical High $199.53 | Facility | 53 · Discontinued | $28.18 | $53.70 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $57.54 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $22.91 | $29.51 |
Where Texas sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$257
AK $417NE $123
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.