How much rates vary
Facilitymedian $324 · 10th to 90th $112 to $603Professionalmedian $145 · 10th to 90th $5 to $813
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 $72.44 Median $158.49 Typical High $588.84 | Facility | None | $72.44 | $158.49 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $67.61 Typical High $93.33 | Professional | None | $7.94 | $67.61 | $93.33 |
BCBS Texas Setting Facility Modifier None Typical Low $173.78 Median $407.38 Typical High $645.65 | Facility | None | $173.78 | $407.38 | $645.65 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $61.66 Typical High $147.91 | Professional | None | $5.01 | $61.66 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $338.84 | Facility | None | $97.72 | $234.42 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $186.21 | Professional | None | $61.66 | $83.18 | $186.21 |
Lucent Health Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $812.83 | Professional | None | $549.54 | $812.83 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $549.54 | Facility | None | $69.18 | $128.82 | $549.54 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $67.61 Typical High $102.33 | Professional | None | $7.94 | $67.61 | $102.33 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | None | $91.20 | $91.20 | $104.71 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $234.42 | Professional | None | $109.65 | $117.49 | $234.42 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $269.15 Typical High $588.84 | Facility | None | $93.33 | $269.15 | $588.84 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $186.21 | Professional | None | $61.66 | $107.15 | $186.21 |
United Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $109.65 | Facility | None | $38.90 | $45.71 | $109.65 |
United Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $89.13 | Professional | None | $45.71 | $63.10 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $147.91 | Professional | None | $56.23 | $109.65 | $147.91 |
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 $36.31 Median $79.43 Typical High $295.12 | Facility | 52 · Reduced service | $36.31 | $79.43 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $31.62 Typical High $117.49 | Facility | 53 · Discontinued | $14.45 | $31.62 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | 52 · Reduced service | $33.11 | $34.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $20.42 | Professional | 53 · Discontinued | $13.18 | $13.80 | $20.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $41.69 Median $79.43 Typical High $295.12 | Facility | 52 · Reduced service | $41.69 | $79.43 | $295.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $31.62 Typical High $117.49 | Facility | 53 · Discontinued | $16.60 | $31.62 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.88 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $33.88 | $43.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $13.18 | $13.49 | $17.38 |
Where Texas sits
The same service costs 3.9 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· 2nd of 51
$224
AK $245AL $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.