How much rates vary
Facilitymedian $363 · 10th to 90th $178 to $912Professionalmedian $209 · 10th to 90th $5 to $1,288
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 $112.20 Median $245.47 Typical High $912.01 | Facility | None | $112.20 | $245.47 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $104.71 Typical High $169.82 | Professional | None | $7.94 | $104.71 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
BCBS Texas Setting Facility Modifier None Typical Low $186.21 Median $575.44 Typical High $954.99 | Facility | None | $186.21 | $575.44 | $954.99 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $97.72 Typical High $229.09 | Professional | None | $5.01 | $97.72 | $229.09 |
Christus Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $354.81 Typical High $524.81 | Facility | None | $93.33 | $354.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $288.40 | Professional | None | $66.07 | $107.15 | $288.40 |
Lucent Health Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $1,288.25 | Professional | None | $851.14 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $912.01 | Facility | None | $112.20 | $204.17 | $912.01 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $104.71 Typical High $169.82 | Professional | None | $7.94 | $104.71 | $169.82 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | None | $141.25 | $141.25 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $363.08 | Professional | None | $169.82 | $181.97 | $363.08 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $389.05 Typical High $691.83 | Facility | None | $109.65 | $389.05 | $691.83 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $288.40 | Professional | None | $66.07 | $134.90 | $288.40 |
United Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $169.82 | Facility | None | $61.66 | $70.79 | $169.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $114.82 | Professional | None | $53.70 | $70.79 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $169.82 Typical High $229.09 | Professional | None | $87.10 | $169.82 | $229.09 |
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 $56.23 Median $123.03 Typical High $457.09 | Facility | 52 · Reduced service | $56.23 | $123.03 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $48.98 Typical High $181.97 | Facility | 53 · Discontinued | $22.39 | $48.98 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $79.43 | Professional | 52 · Reduced service | $51.29 | $52.48 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $31.62 | Professional | 53 · Discontinued | $20.42 | $20.89 | $31.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $123.03 Typical High $457.09 | Facility | 52 · Reduced service | $64.57 | $123.03 | $457.09 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $48.98 Typical High $181.97 | Facility | 53 · Discontinued | $25.70 | $48.98 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $52.48 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $20.89 | $26.92 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 6th of 51
$229
AK $380NC $110
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.