How much rates vary
Facilitymedian $316 · 10th to 90th $135 to $794Professionalmedian $170 · 10th to 90th $5 to $1,023
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 $91.20 Median $199.53 Typical High $741.31 | Facility | None | $91.20 | $199.53 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $85.11 Typical High $144.54 | Professional | None | $7.94 | $85.11 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None | $83.18 | $83.18 | $85.11 |
BCBS Texas Setting Facility Modifier None Typical Low $208.93 Median $501.19 Typical High $851.14 | Facility | None | $208.93 | $501.19 | $851.14 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $75.86 Typical High $186.21 | Professional | None | $5.01 | $75.86 | $186.21 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $295.12 Typical High $426.58 | Facility | None | $93.33 | $295.12 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $234.42 | Professional | None | $69.18 | $102.33 | $234.42 |
Health Smart Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Lucent Health Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,023.29 | Professional | None | $691.83 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $741.31 | Facility | None | $91.20 | $165.96 | $741.31 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $85.11 Typical High $165.96 | Professional | None | $44.67 | $85.11 | $165.96 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $114.82 Typical High $131.83 | Professional | None | $30.20 | $114.82 | $131.83 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $295.12 | Professional | None | $138.04 | $147.91 | $295.12 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $316.23 Typical High $562.34 | Facility | None | $104.71 | $316.23 | $562.34 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $234.42 | Professional | None | $69.18 | $138.04 | $234.42 |
United Setting Facility Modifier None Typical Low $48.98 Median $57.54 Typical High $138.04 | Facility | None | $48.98 | $57.54 | $138.04 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $95.50 | Professional | None | $57.54 | $57.54 | $95.50 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $186.21 | Professional | None | $70.79 | $138.04 | $186.21 |
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 $45.71 Median $97.72 Typical High $371.54 | Facility | 52 · Reduced service | $45.71 | $97.72 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $39.81 Typical High $147.91 | Facility | 53 · Discontinued | $18.20 | $39.81 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $42.66 Typical High $64.57 | Professional | 52 · Reduced service | $40.74 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $16.98 | $25.70 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $51.29 Median $97.72 Typical High $371.54 | Facility | 52 · Reduced service | $51.29 | $97.72 | $371.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $39.81 Typical High $147.91 | Facility | 53 · Discontinued | $20.89 | $39.81 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $42.66 Typical High $54.95 | Professional | 52 · Reduced service | $40.74 | $42.66 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $16.98 | $21.88 |
Where Texas sits
The same service costs 4.9 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· 5th of 51
$186
AK $309AL $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.