How much rates vary
Facilitymedian $1,950 · 10th to 90th $676 to $4,169Professionalmedian $562 · 10th to 90th $5 to $5,754
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 $501.19 Median $1,096.48 Typical High $4,073.80 | Facility | None | $501.19 | $1,096.48 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $707.95 | Professional | None | $457.09 | $478.63 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
BCBS Texas Setting Facility Modifier None Typical Low $1,023.29 Median $2,570.40 Typical High $4,365.16 | Facility | None | $1,023.29 | $2,570.40 | $4,365.16 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $416.87 Typical High $1,023.29 | Professional | None | $5.01 | $416.87 | $1,023.29 |
Baylor Scott & White Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $794.33 | Professional | None | $575.44 | $676.08 | $794.33 |
Christus Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,659.59 Typical High $2,344.23 | Facility | None | $549.54 | $1,659.59 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $1,202.26 | Professional | None | $354.81 | $478.63 | $1,202.26 |
Health Smart Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,000.00 | Professional | None | $676.08 | $724.44 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $5,754.40 | Professional | None | $3,801.89 | $3,801.89 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $1,659.59 | Facility | None | $501.19 | $758.58 | $1,659.59 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $758.58 | Professional | None | $457.09 | $501.19 | $758.58 |
Molina Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | None | $537.03 | $537.03 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,621.81 | Professional | None | $758.58 | $812.83 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $2,754.23 | Facility | None | $537.03 | $831.76 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $1,174.90 | Professional | None | $354.81 | $512.86 | $1,174.90 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $758.58 | Facility | None | $275.42 | $316.23 | $758.58 |
United Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $758.58 | Professional | None | $316.23 | $338.84 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None | $302.00 | $302.00 | $389.05 |
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 $251.19 Median $549.54 Typical High $2,041.74 | Facility | 52 · Reduced service | $251.19 | $549.54 | $2,041.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $218.78 Typical High $812.83 | Facility | 53 · Discontinued | $100.00 | $218.78 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $239.88 Typical High $354.81 | Professional | 52 · Reduced service | $229.09 | $239.88 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $95.50 Typical High $141.25 | Professional | 53 · Discontinued | $91.20 | $95.50 | $141.25 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $288.40 Median $549.54 Typical High $2,041.74 | Facility | 52 · Reduced service | $288.40 | $549.54 | $2,041.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $218.78 Typical High $812.83 | Facility | 53 · Discontinued | $114.82 | $218.78 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $234.42 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $93.33 | $120.23 |
Where Texas sits
The same service costs 4.0 times more in Alaska than in Oklahoma. 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· 6th of 51
$933
AK $1,698OK $427
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.