How much rates vary
Facilitymedian $1,318 · 10th to 90th $447 to $3,236Professionalmedian $1,622 · 10th to 90th $251 to $4,467
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 $398.11 Median $870.96 Typical High $3,235.94 | Facility | None | $398.11 | $870.96 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $562.34 | Professional | None | $363.08 | $380.19 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $371.54 | Professional | None | $151.36 | $151.36 | $371.54 |
BCBS Texas Setting Facility Modifier None Typical Low $812.83 Median $1,995.26 Typical High $3,467.37 | Facility | None | $812.83 | $1,995.26 | $3,467.37 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $331.13 Typical High $602.56 | Professional | None | $5.01 | $331.13 | $602.56 |
Christus Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,288.25 Typical High $1,862.09 | Facility | None | $407.38 | $1,288.25 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $1,023.29 | Professional | None | $302.00 | $407.38 | $1,023.29 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,019.95 | $4,466.84 | $4,466.84 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $724.44 Typical High $3,019.95 | Facility | None | $398.11 | $724.44 | $3,019.95 |
Moda Health Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $602.56 | Professional | None | $363.08 | $380.19 | $602.56 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | None | $501.19 | $501.19 | $602.56 |
Oscar Health Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,288.25 | Professional | None | $602.56 | $645.65 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $1,380.38 Typical High $2,511.89 | Facility | None | $457.09 | $1,380.38 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $1,023.29 | Professional | None | $302.00 | $588.84 | $1,023.29 |
United Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $602.56 | Facility | None | $213.80 | $251.19 | $602.56 |
United Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | None | $251.19 | $251.19 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | None | $239.88 | $239.88 | $309.03 |
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 $199.53 Median $436.52 Typical High $1,621.81 | Facility | 52 · Reduced service | $199.53 | $436.52 | $1,621.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $173.78 Typical High $645.65 | Facility | 53 · Discontinued | $81.28 | $173.78 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $190.55 Typical High $281.84 | Professional | 52 · Reduced service | $181.97 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $112.20 | Professional | 53 · Discontinued | $72.44 | $75.86 | $112.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $229.09 Median $436.52 Typical High $1,621.81 | Facility | 52 · Reduced service | $229.09 | $436.52 | $1,621.81 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $173.78 Typical High $645.65 | Facility | 53 · Discontinued | $91.20 | $173.78 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $186.21 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $186.21 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $74.13 | $95.50 |
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· 2nd of 51
$1,349
AK $1,349NE $398
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.