How much rates vary
Facilitymedian $347 · 10th to 90th $166 to $832Professionalmedian $186 · 10th to 90th $5 to $1,122
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 $100.00 Median $218.78 Typical High $812.83 | Facility | None | $100.00 | $218.78 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $93.33 Typical High $151.36 | Professional | None | $7.94 | $93.33 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $245.47 | Professional | None | $93.33 | $151.36 | $245.47 |
BCBS Texas Setting Facility Modifier None Typical Low $208.93 Median $524.81 Typical High $912.01 | Facility | None | $208.93 | $524.81 | $912.01 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $83.18 Typical High $204.17 | Professional | None | $5.01 | $83.18 | $204.17 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $467.74 | Facility | None | $102.33 | $323.59 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $234.42 | Professional | None | $67.61 | $95.50 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $1,122.02 Typical High $1,122.02 | Professional | None | $741.31 | $1,122.02 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $741.31 | Facility | None | $100.00 | $181.97 | $741.31 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $93.33 Typical High $141.25 | Professional | None | $7.94 | $93.33 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $323.59 | Professional | None | $151.36 | $162.18 | $323.59 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $371.54 Typical High $812.83 | Facility | None | $114.82 | $371.54 | $812.83 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $234.42 | Professional | None | $67.61 | $102.33 | $234.42 |
United Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $151.36 | Facility | None | $53.70 | $63.10 | $151.36 |
United Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | None | $63.10 | $63.10 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $204.17 | Professional | None | $77.62 | $151.36 | $204.17 |
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 $50.12 Median $107.15 Typical High $407.38 | Facility | 52 · Reduced service | $50.12 | $107.15 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $43.65 Typical High $162.18 | Facility | 53 · Discontinued | $19.95 | $43.65 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $47.86 Typical High $70.79 | Professional | 52 · Reduced service | $44.67 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $28.18 | Professional | 53 · Discontinued | $18.20 | $19.05 | $28.18 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $107.15 Typical High $407.38 | Facility | 52 · Reduced service | $56.23 | $107.15 | $407.38 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $43.65 Typical High $162.18 | Facility | 53 · Discontinued | $22.91 | $43.65 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $46.77 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $18.62 | $23.99 |
Where Texas sits
The same service costs 5.4 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· 4th of 51
$204
AK $339AL $63.10
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.