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 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $501.19 Typical High $645.65 | Professional | None | $5.01 | $501.19 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,995.26 Typical High $2,818.38 | Facility | None | $630.96 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,548.82 | Professional | None | $467.74 | $645.65 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $4,570.88 Median $6,918.31 Typical High $6,918.31 | Professional | None | $4,570.88 | $6,918.31 | $6,918.31 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $912.01 Typical High $1,096.48 | Facility | None | $56.23 | $912.01 | $1,096.48 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,380.38 | Professional | None | $870.96 | $912.01 | $1,380.38 |
Oscar Health Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,949.84 | Professional | None | $912.01 | $1,000.00 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $4,897.79 | Facility | None | $707.95 | $2,344.23 | $4,897.79 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $954.99 Typical High $1,445.44 | Professional | None | $467.74 | $954.99 | $1,445.44 |
United Setting Facility Modifier None Typical Low $331.13 Median $380.19 Typical High $912.01 | Facility | None | $331.13 | $380.19 | $912.01 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | None | $380.19 | $380.19 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 12.0 times more in Texas than in New Mexico. 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
$4,571
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.