How much rates vary
Facilitymedian $912 · 10th to 90th $513 to $2,512Professionalmedian $589 · 10th to 90th $214 to $3,802
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 $338.84 Median $724.44 Typical High $2,754.23 | Facility | None | $338.84 | $724.44 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $616.60 | Professional | None | $302.00 | $323.59 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $512.86 | Professional | None | $257.04 | $257.04 | $512.86 |
BCBS Texas Setting Facility Modifier None Typical Low $794.33 Median $1,698.24 Typical High $2,818.38 | Facility | None | $794.33 | $1,698.24 | $2,818.38 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $281.84 Typical High $436.52 | Professional | None | $5.01 | $281.84 | $436.52 |
Christus Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,096.48 Typical High $1,584.89 | Facility | None | $354.81 | $1,096.48 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $794.33 | Professional | None | $223.87 | $323.59 | $794.33 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,570.40 | $3,801.89 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $2,511.89 | Facility | None | $323.59 | $602.56 | $2,511.89 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $537.03 | Professional | None | $302.00 | $323.59 | $537.03 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
Oscar Health Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $1,096.48 | Professional | None | $512.86 | $549.54 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $1,174.90 Typical High $2,238.72 | Facility | None | $389.05 | $1,174.90 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $794.33 | Professional | None | $223.87 | $346.74 | $794.33 |
United Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $512.86 | Facility | None | $181.97 | $213.80 | $512.86 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | None | $213.80 | $213.80 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
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 $169.82 Median $363.08 Typical High $1,380.38 | Facility | 52 · Reduced service | $169.82 | $363.08 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $147.91 Typical High $549.54 | Facility | 53 · Discontinued | $67.61 | $147.91 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $239.88 | Professional | 52 · Reduced service | $151.36 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $95.50 | Professional | 53 · Discontinued | $61.66 | $64.57 | $95.50 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $190.55 Median $363.08 Typical High $1,380.38 | Facility | 52 · Reduced service | $190.55 | $363.08 | $1,380.38 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $147.91 Typical High $549.54 | Facility | 53 · Discontinued | $77.62 | $147.91 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $204.17 | Professional | 52 · Reduced service | $151.36 | $158.49 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $81.28 | Professional | 53 · Discontinued | $61.66 | $63.10 | $81.28 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 4th of 51
$724
AK $1,148FL $331
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.