How much rates vary
Facilitymedian $1,072 · 10th to 90th $457 to $2,188Professionalmedian $550 · 10th to 90th $5 to $3,020
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 $263.03 Median $575.44 Typical High $2,187.76 | Facility | None | $263.03 | $575.44 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $380.19 | Professional | None | $239.88 | $251.19 | $380.19 |
BCBS Texas Setting Facility Modifier None Typical Low $630.96 Median $1,479.11 Typical High $2,344.23 | Facility | None | $630.96 | $1,479.11 | $2,344.23 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $229.09 Typical High $549.54 | Professional | None | $5.01 | $229.09 | $549.54 |
Christus Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $870.96 Typical High $1,258.93 | Facility | None | $354.81 | $870.96 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $691.83 | Professional | None | $229.09 | $309.03 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,995.26 | $3,019.95 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $758.58 Typical High $1,995.26 | Facility | None | $302.00 | $758.58 | $1,995.26 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $380.19 | Professional | None | $239.88 | $251.19 | $380.19 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $851.14 | Professional | None | $398.11 | $436.52 | $851.14 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $977.24 Typical High $2,187.76 | Facility | None | $346.74 | $977.24 | $2,187.76 |
Providence Setting Professional Modifier None Typical Low $229.09 Median $407.38 Typical High $676.08 | Professional | None | $229.09 | $407.38 | $676.08 |
United Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $398.11 | Facility | None | $144.54 | $169.82 | $398.11 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $331.13 | Professional | None | $169.82 | $229.09 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $537.03 | Professional | None | $208.93 | $398.11 | $537.03 |
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 $131.83 Median $288.40 Typical High $1,096.48 | Facility | 52 · Reduced service | $131.83 | $288.40 | $1,096.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $114.82 Typical High $436.52 | Facility | 53 · Discontinued | $52.48 | $114.82 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $190.55 | Professional | 52 · Reduced service | $120.23 | $125.89 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $75.86 | Professional | 53 · Discontinued | $47.86 | $50.12 | $75.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $288.40 Typical High $1,096.48 | Facility | 52 · Reduced service | $151.36 | $288.40 | $1,096.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $114.82 Typical High $436.52 | Facility | 53 · Discontinued | $60.26 | $114.82 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $125.89 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $50.12 | $64.57 |
Where Texas sits
The same service costs 3.8 times more in Texas 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· 1st of 51
$1,072
TX $1,072DE $282
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.