How much rates vary
Facilitymedian $661 · 10th to 90th $229 to $1,230Professionalmedian $269 · 10th to 90th $5 to $1,660
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 $144.54 Median $316.23 Typical High $1,202.26 | Facility | None | $144.54 | $316.23 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $138.04 Typical High $213.80 | Professional | None | $7.94 | $138.04 | $213.80 |
BCBS Texas Setting Facility Modifier None Typical Low $346.74 Median $812.83 Typical High $1,288.25 | Facility | None | $346.74 | $812.83 | $1,288.25 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $120.23 Typical High $302.00 | Professional | None | $5.01 | $120.23 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $478.63 Typical High $691.83 | Facility | None | $199.53 | $478.63 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $380.19 | Professional | None | $125.89 | $169.82 | $380.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,659.59 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $1,202.26 | Facility | None | $144.54 | $263.03 | $1,202.26 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $218.78 | Professional | None | $123.03 | $138.04 | $218.78 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None | $186.21 | $186.21 | $223.87 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $467.74 | Professional | None | $218.78 | $239.88 | $467.74 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $537.03 Typical High $1,174.90 | Facility | None | $190.55 | $537.03 | $1,174.90 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $380.19 | Professional | None | $125.89 | $213.80 | $380.19 |
United Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $218.78 | Facility | None | $79.43 | $93.33 | $218.78 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $181.97 | Professional | None | $93.33 | $125.89 | $181.97 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $295.12 | Professional | None | $114.82 | $218.78 | $295.12 |
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 $72.44 Median $158.49 Typical High $602.56 | Facility | 52 · Reduced service | $72.44 | $158.49 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $63.10 Typical High $239.88 | Facility | 53 · Discontinued | $28.84 | $63.10 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $69.18 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $41.69 | Professional | 53 · Discontinued | $26.30 | $27.54 | $41.69 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $83.18 Median $158.49 Typical High $602.56 | Facility | 52 · Reduced service | $83.18 | $158.49 | $602.56 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $63.10 Typical High $239.88 | Facility | 53 · Discontinued | $33.11 | $63.10 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $66.07 | $69.18 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $35.48 | Professional | 53 · Discontinued | $26.30 | $27.54 | $35.48 |
Where Texas sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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
$437
AK $501NJ $162
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.