How much rates vary
Facilitymedian $1,202 · 10th to 90th $302 to $2,754Professionalmedian $363 · 10th to 90th $5 to $3,802
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 $331.13 Median $724.44 Typical High $2,754.23 | Facility | None | $331.13 | $724.44 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $478.63 | Professional | None | $302.00 | $316.23 | $478.63 |
BCBS Texas Setting Facility Modifier None Typical Low $77.62 Median $1,479.11 Typical High $2,884.03 | Facility | None | $77.62 | $1,479.11 | $2,884.03 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $275.42 Typical High $309.03 | Professional | None | $5.01 | $275.42 | $309.03 |
Christus Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $1,584.89 | Facility | None | $346.74 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $912.01 | Professional | None | $257.04 | $457.09 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,511.89 | $3,801.89 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $1,000.00 | Facility | None | $331.13 | $501.19 | $1,000.00 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $489.78 | Professional | None | $302.00 | $316.23 | $489.78 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | None | $380.19 | $426.58 | $426.58 |
Oscar Health Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $1,071.52 | Professional | None | $501.19 | $549.54 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,584.89 | Facility | None | $354.81 | $549.54 | $1,584.89 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $501.19 Typical High $870.96 | Professional | None | $257.04 | $501.19 | $870.96 |
United Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $501.19 | Facility | None | $181.97 | $213.80 | $501.19 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $501.19 | Professional | None | $213.80 | $213.80 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | None | $199.53 | $199.53 | $263.03 |
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 $169.82 Median $363.08 Typical High $1,348.96 | Facility | 52 · Reduced service | $169.82 | $363.08 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $144.54 Typical High $549.54 | Facility | 53 · Discontinued | $67.61 | $144.54 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | 52 · Reduced service | $151.36 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $95.50 | Professional | 53 · Discontinued | $60.26 | $63.10 | $95.50 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $190.55 Median $363.08 Typical High $1,348.96 | Facility | 52 · Reduced service | $190.55 | $363.08 | $1,348.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $144.54 Typical High $549.54 | Facility | 53 · Discontinued | $75.86 | $144.54 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $154.88 Typical High $199.53 | Professional | 52 · Reduced service | $151.36 | $154.88 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | 53 · Discontinued | $60.26 | $63.10 | $81.28 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 13th of 51
$550
AK $1,122GA $302
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.