How much rates vary
Facilitymedian $10,471 · 10th to 90th $3,467 to $25,704Professionalmedian $3,311 · 10th to 90th $5 to $35,481
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 $3,162.28 Median $6,918.31 Typical High $25,703.96 | Facility | None | $3,162.28 | $6,918.31 | $25,703.96 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $4,466.84 | Professional | None | $2,884.03 | $3,019.95 | $4,466.84 |
Ambetter Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
BCBS Texas Setting Facility Modifier None Typical Low $4,365.16 Median $13,182.57 Typical High $27,542.29 | Facility | None | $4,365.16 | $13,182.57 | $27,542.29 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $2,630.27 Typical High $3,162.28 | Professional | None | $5.01 | $2,630.27 | $3,162.28 |
Christus Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $9,772.37 Typical High $14,791.08 | Facility | None | $3,235.94 | $9,772.37 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $8,709.64 | Professional | None | $2,454.71 | $4,265.80 | $8,709.64 |
Lucent Health Setting Professional Modifier None Typical Low $23,988.33 Median $35,481.34 Typical High $35,481.34 | Professional | None | $23,988.33 | $35,481.34 | $35,481.34 |
Moda Health Setting Facility Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $9,549.93 | Facility | None | $3,019.95 | $4,786.30 | $9,549.93 |
Moda Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $4,677.35 | Professional | None | $2,884.03 | $3,019.95 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,073.80 | Professional | None | $3,388.44 | $3,388.44 | $4,073.80 |
Oscar Health Setting Professional Modifier None Typical Low $4,786.30 Median $5,128.61 Typical High $10,232.93 | Professional | None | $4,786.30 | $5,128.61 | $10,232.93 |
Providence Setting Facility Modifier None Typical Low $3,311.31 Median $5,248.07 Typical High $14,791.08 | Facility | None | $3,311.31 | $5,248.07 | $14,791.08 |
Providence Setting Professional Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $8,317.64 | Professional | None | $2,454.71 | $4,786.30 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $4,786.30 | Facility | None | $1,737.80 | $1,995.26 | $4,786.30 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $4,677.35 | Professional | None | $1,995.26 | $1,995.26 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,905.46 | $1,905.46 | $2,454.71 |
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 $1,584.89 Median $3,467.37 Typical High $12,882.50 | Facility | 52 · Reduced service | $1,584.89 | $3,467.37 | $12,882.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $645.65 Median $1,380.38 Typical High $5,128.61 | Facility | 53 · Discontinued | $645.65 | $1,380.38 | $5,128.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,513.56 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,445.44 | $1,513.56 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $602.56 Typical High $891.25 | Professional | 53 · Discontinued | $575.44 | $602.56 | $891.25 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1,819.70 Median $3,467.37 Typical High $12,882.50 | Facility | 52 · Reduced service | $1,819.70 | $3,467.37 | $12,882.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $724.44 Median $1,380.38 Typical High $5,128.61 | Facility | 53 · Discontinued | $724.44 | $1,380.38 | $5,128.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,479.11 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,445.44 | $1,479.11 | $1,905.46 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $588.84 Typical High $758.58 | Professional | 53 · Discontinued | $575.44 | $588.84 | $758.58 |
Where Texas sits
The same service costs 10.7 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
$5,623
AK $10,715KY $1,000
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.