How much rates vary
Facilitymedian $490 · 10th to 90th $174 to $977Professionalmedian $214 · 10th to 90th $5 to $1,318
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 $114.82 Median $251.19 Typical High $954.99 | Facility | None | $114.82 | $251.19 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $109.65 Typical High $147.91 | Professional | None | $7.94 | $109.65 | $147.91 |
BCBS Texas Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,023.29 | Facility | None | $239.88 | $616.60 | $1,023.29 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $95.50 Typical High $239.88 | Professional | None | $5.01 | $95.50 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $380.19 Typical High $549.54 | Facility | None | $120.23 | $380.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $275.42 | Professional | None | $77.62 | $102.33 | $275.42 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,318.26 | Professional | None | $870.96 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $933.25 | Facility | None | $114.82 | $208.93 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $109.65 Typical High $165.96 | Professional | None | $7.94 | $109.65 | $165.96 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $371.54 | Professional | None | $173.78 | $190.55 | $371.54 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $426.58 Typical High $741.31 | Facility | None | $134.90 | $426.58 | $741.31 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $275.42 | Professional | None | $77.62 | $117.49 | $275.42 |
United Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $173.78 | Facility | None | $63.10 | $74.13 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | None | $74.13 | $74.13 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $234.42 | Professional | None | $91.20 | $173.78 | $234.42 |
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 $57.54 Median $125.89 Typical High $478.63 | Facility | 52 · Reduced service | $57.54 | $125.89 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $190.55 | Facility | 53 · Discontinued | $22.91 | $50.12 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $21.88 | $33.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $66.07 Median $125.89 Typical High $478.63 | Facility | 52 · Reduced service | $66.07 | $125.89 | $478.63 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $190.55 | Facility | 53 · Discontinued | $26.30 | $50.12 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $54.95 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $21.88 | $28.18 |
Where Texas sits
The same service costs 3.8 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· 2nd of 51
$324
AK $398DE $105
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.