How much rates vary
Facilitymedian $2,344 · 10th to 90th $646 to $5,012Professionalmedian $676 · 10th to 90th $5 to $7,079
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 $616.60 Median $1,348.96 Typical High $5,011.87 | Facility | None | $616.60 | $1,348.96 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $870.96 | Professional | None | $562.34 | $588.84 | $870.96 |
BCBS Texas Setting Facility Modifier None Typical Low $27.54 Median $3,090.30 Typical High $5,370.32 | Facility | None | $27.54 | $3,090.30 | $5,370.32 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $512.86 Typical High $575.44 | Professional | None | $5.01 | $512.86 | $575.44 |
Christus Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $2,951.21 | Facility | None | $645.65 | $1,949.84 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,698.24 | Professional | None | $478.63 | $851.14 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $7,079.46 Typical High $7,079.46 | Professional | None | $4,677.35 | $7,079.46 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $2,041.74 | Facility | None | $616.60 | $933.25 | $2,041.74 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $933.25 | Professional | None | $562.34 | $616.60 | $933.25 |
Molina Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $707.95 | Professional | None | $660.69 | $660.69 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,995.26 | Professional | None | $933.25 | $1,023.29 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $2,951.21 | Facility | None | $660.69 | $1,023.29 | $2,951.21 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $933.25 Typical High $1,621.81 | Professional | None | $478.63 | $933.25 | $1,621.81 |
United Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $933.25 | Facility | None | $338.84 | $389.05 | $933.25 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $933.25 | Professional | None | $389.05 | $389.05 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
9 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 $316.23 Median $676.08 Typical High $2,511.89 | Facility | 52 · Reduced service | $316.23 | $676.08 | $2,511.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $269.15 Typical High $1,023.29 | Facility | 53 · Discontinued | $125.89 | $269.15 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $295.12 Typical High $436.52 | Professional | 52 · Reduced service | $281.84 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $177.83 | Professional | 53 · Discontinued | $112.20 | $117.49 | $177.83 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 90 · Outside lab | $588.84 | $588.84 | $588.84 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $676.08 Typical High $2,511.89 | Facility | 52 · Reduced service | $354.81 | $676.08 | $2,511.89 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $269.15 Typical High $1,023.29 | Facility | 53 · Discontinued | $141.25 | $269.15 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $295.12 Typical High $371.54 | Professional | 52 · Reduced service | $281.84 | $295.12 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $151.36 | Professional | 53 · Discontinued | $112.20 | $117.49 | $151.36 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$1,148
AK $2,089GA $562
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.