How much rates vary
Facilitymedian $1,072 · 10th to 90th $363 to $2,291Professionalmedian $468 · 10th to 90th $5 to $2,570
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 $229.09 Median $501.19 Typical High $1,862.09 | Facility | None | $229.09 | $501.19 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $323.59 | Professional | None | $208.93 | $218.78 | $323.59 |
BCBS Texas Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $2,290.87 | Facility | None | $549.54 | $1,318.26 | $2,290.87 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $194.98 Typical High $467.74 | Professional | None | $5.01 | $194.98 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $758.58 Typical High $1,071.52 | Facility | None | $309.03 | $758.58 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $588.84 | Professional | None | $194.98 | $263.03 | $588.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,737.80 | $2,570.40 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $645.65 Typical High $2,187.76 | Facility | None | $263.03 | $645.65 | $2,187.76 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $331.13 | Professional | None | $208.93 | $218.78 | $331.13 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None | $288.40 | $288.40 | $346.74 |
Oscar Health Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $741.31 | Professional | None | $346.74 | $371.54 | $741.31 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $851.14 Typical High $1,862.09 | Facility | None | $309.03 | $851.14 | $1,862.09 |
Providence Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $588.84 | Professional | None | $194.98 | $338.84 | $588.84 |
United Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $346.74 | Facility | None | $123.03 | $144.54 | $346.74 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $281.84 | Professional | None | $144.54 | $199.53 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $467.74 | Professional | None | $177.83 | $346.74 | $467.74 |
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 $114.82 Median $251.19 Typical High $933.25 | Facility | 52 · Reduced service | $114.82 | $251.19 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $100.00 Typical High $371.54 | Facility | 53 · Discontinued | $45.71 | $100.00 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $109.65 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 53 · Discontinued | $41.69 | $43.65 | $64.57 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $131.83 Median $251.19 Typical High $933.25 | Facility | 52 · Reduced service | $131.83 | $251.19 | $933.25 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $100.00 Typical High $371.54 | Facility | 53 · Discontinued | $52.48 | $100.00 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $104.71 | $107.15 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $54.95 | Professional | 53 · Discontinued | $41.69 | $42.66 | $54.95 |
Where Texas sits
The same service costs 4.6 times more in Texas 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· 1st of 51
$794
TX $794AL $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.