How much rates vary
Facilitymedian $427 · 10th to 90th $182 to $1,000Professionalmedian $229 · 10th to 90th $5 to $1,380
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 $114.82 Median $269.15 Typical High $1,000.00 | Facility | None | $114.82 | $269.15 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $114.82 Typical High $194.98 | Professional | None | $7.94 | $114.82 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS Texas Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $1,148.15 | Facility | None | $275.42 | $676.08 | $1,148.15 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $102.33 Typical High $251.19 | Professional | None | $5.01 | $102.33 | $251.19 |
Christus Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $575.44 | Facility | None | $125.89 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $316.23 | Professional | None | $95.50 | $141.25 | $316.23 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,380.38 | Professional | None | $933.25 | $1,380.38 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $891.25 | Facility | None | $141.25 | $346.74 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $114.82 Typical High $186.21 | Professional | None | $7.94 | $114.82 | $186.21 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $154.88 Typical High $177.83 | Professional | None | $30.20 | $154.88 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $398.11 | Professional | None | $186.21 | $199.53 | $398.11 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $426.58 Typical High $776.25 | Facility | None | $141.25 | $426.58 | $776.25 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $323.59 | Professional | None | $95.50 | $190.55 | $323.59 |
United Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $186.21 | Facility | None | $66.07 | $77.62 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | None | $77.62 | $77.62 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $251.19 | Professional | None | $95.50 | $186.21 | $251.19 |
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 $61.66 Median $131.83 Typical High $501.19 | Facility | 52 · Reduced service | $61.66 | $131.83 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $53.70 Typical High $199.53 | Facility | 53 · Discontinued | $24.55 | $53.70 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $34.67 | Professional | 53 · Discontinued | $22.39 | $22.91 | $34.67 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $131.83 Typical High $501.19 | Facility | 52 · Reduced service | $70.79 | $131.83 | $501.19 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $53.70 Typical High $199.53 | Facility | 53 · Discontinued | $28.18 | $53.70 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $57.54 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $22.91 | $29.51 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 7th of 51
$251
AK $417KY $112
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.