How much rates vary
Facilitymedian $692 · 10th to 90th $331 to $1,622Professionalmedian $372 · 10th to 90th $5 to $2,239
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 $199.53 Median $436.52 Typical High $1,621.81 | Facility | None | $199.53 | $436.52 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $281.84 | Professional | None | $173.78 | $186.21 | $281.84 |
BCBS Texas Setting Facility Modifier None Typical Low $457.09 Median $1,071.52 Typical High $1,995.26 | Facility | None | $457.09 | $1,071.52 | $1,995.26 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $165.96 Typical High $407.38 | Professional | None | $5.01 | $165.96 | $407.38 |
Baylor Scott & White Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $676.08 | Professional | None | $208.93 | $426.58 | $676.08 |
Christus Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $660.69 Typical High $933.25 | Facility | None | $213.80 | $660.69 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $512.86 | Professional | None | $154.88 | $229.09 | $512.86 |
Health Smart Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,513.56 | $2,238.72 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $1,621.81 | Facility | None | $199.53 | $436.52 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $302.00 | Professional | None | $173.78 | $190.55 | $302.00 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $251.19 Typical High $288.40 | Professional | None | $30.20 | $251.19 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $645.65 | Professional | None | $302.00 | $323.59 | $645.65 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $707.95 Typical High $1,230.27 | Facility | None | $234.42 | $707.95 | $1,230.27 |
Providence Setting Professional Modifier None Typical Low $154.88 Median $309.03 Typical High $512.86 | Professional | None | $154.88 | $309.03 | $512.86 |
United Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $302.00 | Facility | None | $109.65 | $125.89 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $302.00 Typical High $407.38 | Professional | None | $154.88 | $302.00 | $407.38 |
9 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 $100.00 Median $218.78 Typical High $812.83 | Facility | 52 · Reduced service | $100.00 | $218.78 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $87.10 Typical High $323.59 | Facility | 53 · Discontinued | $39.81 | $87.10 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $91.20 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $56.23 | Professional | 53 · Discontinued | $36.31 | $37.15 | $56.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 59 · Distinct service | $275.42 | $275.42 | $275.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $114.82 Median $218.78 Typical High $812.83 | Facility | 52 · Reduced service | $114.82 | $218.78 | $812.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $87.10 Typical High $323.59 | Facility | 53 · Discontinued | $45.71 | $87.10 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $120.23 | Professional | 52 · Reduced service | $91.20 | $93.33 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | 53 · Discontinued | $36.31 | $37.15 | $47.86 |
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
$562
AK $676AL $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.