How much rates vary
Facilitymedian $380 · 10th to 90th $129 to $708Professionalmedian $170 · 10th to 90th $5 to $955
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 $83.18 Median $181.97 Typical High $691.83 | Facility | None | $83.18 | $181.97 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $79.43 Typical High $128.82 | Professional | None | $7.94 | $79.43 | $128.82 |
BCBS Texas Setting Facility Modifier None Typical Low $194.98 Median $467.74 Typical High $741.31 | Facility | None | $194.98 | $467.74 | $741.31 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $72.44 Typical High $173.78 | Professional | None | $5.01 | $72.44 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $398.11 | Facility | None | $100.00 | $275.42 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $218.78 | Professional | None | $64.57 | $85.11 | $218.78 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $954.99 | Professional | None | $630.96 | $954.99 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $691.83 | Facility | None | $83.18 | $177.83 | $691.83 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $79.43 Typical High $120.23 | Professional | None | $7.94 | $79.43 | $120.23 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | None | $107.15 | $107.15 | $123.03 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $269.15 | Professional | None | $128.82 | $138.04 | $269.15 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $309.03 Typical High $630.96 | Facility | None | $109.65 | $309.03 | $630.96 |
Providence Setting Professional Modifier None Typical Low $64.57 Median $123.03 Typical High $218.78 | Professional | None | $64.57 | $123.03 | $218.78 |
United Setting Facility Modifier None Typical Low $45.71 Median $53.70 Typical High $128.82 | Facility | None | $45.71 | $53.70 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $91.20 | Professional | None | $53.70 | $63.10 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $128.82 Typical High $173.78 | Professional | None | $66.07 | $128.82 | $173.78 |
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 $42.66 Median $91.20 Typical High $346.74 | Facility | 52 · Reduced service | $42.66 | $91.20 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $36.31 Typical High $138.04 | Facility | 53 · Discontinued | $16.98 | $36.31 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $60.26 | Professional | 52 · Reduced service | $38.02 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $23.99 | Professional | 53 · Discontinued | $15.14 | $16.22 | $23.99 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $47.86 Median $91.20 Typical High $346.74 | Facility | 52 · Reduced service | $47.86 | $91.20 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $36.31 Typical High $138.04 | Facility | 53 · Discontinued | $19.05 | $36.31 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $39.81 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $15.85 | $20.42 |
Where Texas sits
The same service costs 4.6 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· 3rd of 51
$269
AK $288AL $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.