How much rates vary
Facilitymedian $851 · 10th to 90th $324 to $1,778Professionalmedian $398 · 10th to 90th $5 to $2,455
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 $467.74 Typical High $1,737.80 | Facility | None | $213.80 | $467.74 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | None | $194.98 | $204.17 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
BCBS Texas Setting Facility Modifier None Typical Low $426.58 Median $1,047.13 Typical High $1,862.09 | Facility | None | $426.58 | $1,047.13 | $1,862.09 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $177.83 Typical High $436.52 | Professional | None | $5.01 | $177.83 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $707.95 Typical High $1,023.29 | Facility | None | $223.87 | $707.95 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $512.86 | Professional | None | $144.54 | $181.97 | $512.86 |
Lucent Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,621.81 | $2,454.71 | $2,454.71 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $1,621.81 | Facility | None | $213.80 | $389.05 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $323.59 | Professional | None | $194.98 | $204.17 | $323.59 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $691.83 | Professional | None | $323.59 | $354.81 | $691.83 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $741.31 Typical High $1,380.38 | Facility | None | $245.47 | $741.31 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $512.86 | Professional | None | $144.54 | $218.78 | $512.86 |
United Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $323.59 | Facility | None | $117.49 | $134.90 | $323.59 |
United Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | None | $134.90 | $134.90 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $436.52 | Professional | None | $169.82 | $323.59 | $436.52 |
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 $107.15 Median $234.42 Typical High $870.96 | Facility | 52 · Reduced service | $107.15 | $234.42 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $93.33 Typical High $354.81 | Facility | 53 · Discontinued | $42.66 | $93.33 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $151.36 | Professional | 52 · Reduced service | $97.72 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $40.74 | $61.66 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $234.42 Typical High $870.96 | Facility | 52 · Reduced service | $123.03 | $234.42 | $870.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $93.33 Typical High $354.81 | Facility | 53 · Discontinued | $48.98 | $93.33 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $100.00 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $100.00 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $52.48 | Professional | 53 · Discontinued | $38.90 | $39.81 | $52.48 |
Where Texas sits
The same service costs 4.2 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· 2nd of 51
$562
AK $724AL $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.