How much rates vary
Facilitymedian $776 · 10th to 90th $347 to $1,862Professionalmedian $427 · 10th to 90th $5 to $2,630
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 $213.80 Median $446.68 Typical High $1,778.28 | Facility | None | $213.80 | $446.68 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $316.23 | Professional | None | $208.93 | $218.78 | $316.23 |
BCBS Texas Setting Facility Modifier None Typical Low $478.63 Median $1,202.26 Typical High $1,995.26 | Facility | None | $478.63 | $1,202.26 | $1,995.26 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $190.55 Typical High $478.63 | Professional | None | $5.01 | $190.55 | $478.63 |
Christus Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $758.58 Typical High $1,096.48 | Facility | None | $263.03 | $758.58 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $588.84 | Professional | None | $177.83 | $234.42 | $588.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,737.80 | $2,630.27 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $1,698.24 | Facility | None | $229.09 | $380.19 | $1,698.24 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $331.13 | Professional | None | $208.93 | $218.78 | $331.13 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None | $295.12 | $295.12 | $354.81 |
Oscar Health Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $741.31 | Professional | None | $346.74 | $380.19 | $741.31 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $851.14 Typical High $1,659.59 | Facility | None | $281.84 | $851.14 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $588.84 | Professional | None | $177.83 | $331.13 | $588.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $346.74 | Facility | None | $125.89 | $147.91 | $346.74 |
United Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $245.47 | Professional | None | $147.91 | $165.96 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $467.74 | Professional | None | $181.97 | $346.74 | $467.74 |
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 $114.82 Median $251.19 Typical High $933.25 | Facility | 52 · Reduced service | $114.82 | $251.19 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $100.00 Typical High $380.19 | Facility | 53 · Discontinued | $45.71 | $100.00 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $109.65 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $43.65 | $66.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $131.83 Median $251.19 Typical High $933.25 | Facility | 52 · Reduced service | $131.83 | $251.19 | $933.25 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $100.00 Typical High $380.19 | Facility | 53 · Discontinued | $52.48 | $100.00 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $104.71 | $107.15 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $56.23 | Professional | 53 · Discontinued | $41.69 | $43.65 | $56.23 |
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· 5th of 51
$479
AK $776AL $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.