How much rates vary
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 $0.02 Median $0.06 Typical High $0.08 | Facility | None | $0.02 | $0.06 | $0.08 |
Aetna Setting Professional Modifier None Typical Low $0.07 Median $5.50 Typical High $7.94 | Professional | None | $0.07 | $5.50 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $5,128.61 Typical High $7,244.36 | Facility | None | $1,621.81 | $5,128.61 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $3,981.07 | Professional | None | $1,202.26 | $1,659.59 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $17,378.01 Typical High $17,378.01 | Professional | None | $11,748.98 | $17,378.01 | $17,378.01 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $2,344.23 Typical High $2,818.38 | Facility | None | $56.23 | $2,344.23 | $2,818.38 |
Moda Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $3,467.37 | Professional | None | $2,238.72 | $2,344.23 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,949.84 | $1,949.84 | $2,344.23 |
Oscar Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $5,011.87 | Professional | None | $2,344.23 | $2,511.89 | $5,011.87 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $5,888.44 Typical High $12,589.25 | Facility | None | $1,819.70 | $5,888.44 | $12,589.25 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,202.26 | $2,454.71 | $3,715.35 |
United Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $2,344.23 | Facility | None | $851.14 | $977.24 | $2,344.23 |
United Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,621.81 | Professional | None | $977.24 | $977.24 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $1,202.26 | Professional | None | $426.58 | $426.58 | $1,202.26 |
1 more rate 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 $0.03 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.03 | $0.03 | $0.04 |
Where Texas sits
The same service costs 67.6 times more in Texas 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· 1st of 51
$11,749
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.