How much rates vary
Facilitymedian $1,479 · 10th to 90th $550 to $3,162Professionalmedian $407 · 10th to 90th $5 to $4,365
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 $446.68 Typical High $446.68 | Facility | None | $331.13 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $501.19 | Professional | None | $354.81 | $371.54 | $501.19 |
BCBS Texas Setting Facility Modifier None Typical Low $933.25 Median $1,995.26 Typical High $3,235.94 | Facility | None | $933.25 | $1,995.26 | $3,235.94 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $323.59 Typical High $354.81 | Professional | None | $5.01 | $323.59 | $354.81 |
Christus Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,258.93 Typical High $1,819.70 | Facility | None | $549.54 | $1,258.93 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $1,096.48 | Professional | None | $331.13 | $407.38 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,365.16 Typical High $4,365.16 | Professional | None | $2,951.21 | $4,365.16 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $707.95 | Facility | None | $407.38 | $588.84 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $549.54 | Professional | None | $354.81 | $371.54 | $549.54 |
Molina Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | None | $407.38 | $407.38 | $436.52 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $1,258.93 | Professional | None | $588.84 | $630.96 | $1,258.93 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $2,137.96 | Facility | None | $446.68 | $707.95 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $1,000.00 | Professional | None | $331.13 | $407.38 | $1,000.00 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $588.84 | Facility | None | $208.93 | $245.47 | $588.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $741.31 | Professional | None | $245.47 | $338.84 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | None | $288.40 | $288.40 | $302.00 |
4 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 Professional Modifier 52 · Reduced service Typical Low $173.78 Median $186.21 Typical High $239.88 | Professional | 52 · Reduced service | $173.78 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $74.13 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | 52 · Reduced service | $173.78 | $181.97 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $72.44 | $93.33 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 17th of 51
$631
AK $1,318DE $417
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.