How much rates vary
Facilitymedian $1,349 · 10th to 90th $646 to $3,467Professionalmedian $3,236 · 10th to 90th $269 to $4,786
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 $426.58 Median $933.25 Typical High $3,467.37 | Facility | None | $426.58 | $933.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $524.81 | Professional | None | $389.05 | $398.11 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
BCBS Texas Setting Facility Modifier None Typical Low $851.14 Median $2,187.76 Typical High $3,715.35 | Facility | None | $851.14 | $2,187.76 | $3,715.35 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $354.81 Typical High $645.65 | Professional | None | $5.01 | $354.81 | $645.65 |
Christus Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $1,202.26 Typical High $1,949.84 | Facility | None | $208.93 | $1,202.26 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $407.38 Typical High $1,096.48 | Professional | None | $147.91 | $407.38 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,235.94 | $4,786.30 | $4,786.30 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $3,162.28 | Facility | None | $426.58 | $758.58 | $3,162.28 |
Moda Health Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $602.56 | Professional | None | $363.08 | $398.11 | $602.56 |
Molina Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $645.65 | Professional | None | $537.03 | $537.03 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $1,380.38 | Professional | None | $645.65 | $691.83 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $1,202.26 Typical High $2,511.89 | Facility | None | $416.87 | $1,202.26 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $147.91 Median $478.63 Typical High $1,096.48 | Professional | None | $147.91 | $478.63 | $1,096.48 |
United Setting Facility Modifier None Typical Low $229.09 Median $269.15 Typical High $645.65 | Facility | None | $229.09 | $269.15 | $645.65 |
United Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $389.05 | Professional | None | $120.23 | $269.15 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $645.65 Typical High $870.96 | Professional | None | $331.13 | $645.65 | $870.96 |
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 $213.80 Median $457.09 Typical High $1,737.80 | Facility | 52 · Reduced service | $213.80 | $457.09 | $1,737.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $186.21 Typical High $691.83 | Facility | 53 · Discontinued | $85.11 | $186.21 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $199.53 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $109.65 | Professional | 53 · Discontinued | $77.62 | $79.43 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $239.88 Median $457.09 Typical High $1,737.80 | Facility | 52 · Reduced service | $239.88 | $457.09 | $1,737.80 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $186.21 Typical High $691.83 | Facility | 53 · Discontinued | $97.72 | $186.21 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $199.53 Typical High $257.04 | Professional | 52 · Reduced service | $190.55 | $199.53 | $257.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $102.33 | Professional | 53 · Discontinued | $77.62 | $79.43 | $102.33 |
Where Texas sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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
$1,445
AK $1,445NC $288
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.