How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,239 to $14,791Professionalmedian $2,138 · 10th to 90th $5 to $21,878
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 $1,819.70 Median $4,168.69 Typical High $15,848.93 | Facility | None | $1,819.70 | $4,168.69 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,737.80 | $1,862.09 | $2,754.23 |
Ambetter Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Texas Setting Facility Modifier None Typical Low $27.54 Median $8,511.38 Typical High $16,982.44 | Facility | None | $27.54 | $8,511.38 | $16,982.44 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $1,621.81 Typical High $3,981.07 | Professional | None | $5.01 | $1,621.81 | $3,981.07 |
Christus Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $6,025.60 Typical High $9,120.11 | Facility | None | $1,949.84 | $6,025.60 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $5,248.07 | Professional | None | $1,479.11 | $2,630.27 | $5,248.07 |
Lucent Health Setting Professional Modifier None Typical Low $14,454.40 Median $21,877.62 Typical High $21,877.62 | Professional | None | $14,454.40 | $21,877.62 | $21,877.62 |
Moda Health Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,754.40 | Facility | None | $1,905.46 | $2,951.21 | $5,754.40 |
Moda Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,737.80 | $1,862.09 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,818.38 | Professional | None | $2,454.71 | $2,454.71 | $2,818.38 |
Oscar Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $6,165.95 | Professional | None | $2,951.21 | $3,162.28 | $6,165.95 |
Providence Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $9,120.11 | Facility | None | $2,041.74 | $3,162.28 | $9,120.11 |
Providence Setting Professional Modifier None Typical Low $1,479.11 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,479.11 | $2,951.21 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,230.27 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,951.21 | Professional | None | $1,230.27 | $1,230.27 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,174.90 | $1,513.56 |
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 $954.99 Median $2,089.30 Typical High $7,943.28 | Facility | 52 · Reduced service | $954.99 | $2,089.30 | $7,943.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $389.05 Median $831.76 Typical High $3,162.28 | Facility | 53 · Discontinued | $389.05 | $831.76 | $3,162.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $912.01 Typical High $1,380.38 | Professional | 52 · Reduced service | $870.96 | $912.01 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $371.54 Typical High $549.54 | Professional | 53 · Discontinued | $346.74 | $371.54 | $549.54 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1,096.48 Median $2,089.30 Typical High $7,943.28 | Facility | 52 · Reduced service | $1,096.48 | $2,089.30 | $7,943.28 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $831.76 Typical High $3,162.28 | Facility | 53 · Discontinued | $436.52 | $831.76 | $3,162.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $912.01 Typical High $1,174.90 | Professional | 52 · Reduced service | $870.96 | $912.01 | $1,174.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $371.54 Typical High $467.74 | Professional | 53 · Discontinued | $346.74 | $371.54 | $467.74 |
Where Texas sits
The same service costs 5.4 times more in Alaska 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· 5th of 51
$3,981
AK $6,607AL $1,230
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.