How much rates vary
Facilitymedian $525 · 10th to 90th $302 to $1,622Professionalmedian $178 · 10th to 90th $5 to $309
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 $213.80 Median $467.74 Typical High $1,659.59 | Facility | None | $213.80 | $467.74 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $338.84 | Professional | None | $194.98 | $213.80 | $338.84 |
BCBS Texas Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $1,819.70 | Facility | None | $346.74 | $912.01 | $1,819.70 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $177.83 Typical High $257.04 | Professional | None | $5.01 | $177.83 | $257.04 |
Christus Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $602.56 Typical High $1,000.00 | Facility | None | $131.83 | $602.56 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $169.82 Typical High $489.78 | Professional | None | $81.28 | $169.82 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $501.19 Typical High $912.01 | Facility | None | $229.09 | $501.19 | $912.01 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $323.59 | Professional | None | $194.98 | $204.17 | $323.59 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | None | $245.47 | $269.15 | $269.15 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $1,000.00 | Facility | None | $204.17 | $354.81 | $1,000.00 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $537.03 | Professional | None | $81.28 | $165.96 | $537.03 |
United Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $323.59 | Facility | None | $117.49 | $134.90 | $323.59 |
United Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $194.98 | Professional | None | $72.44 | $134.90 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | None | $128.82 | $128.82 | $165.96 |
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 $107.15 Median $234.42 Typical High $870.96 | Facility | 52 · Reduced service | $107.15 | $234.42 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $93.33 Typical High $346.74 | Facility | 53 · Discontinued | $42.66 | $93.33 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $169.82 | Professional | 52 · Reduced service | $97.72 | $102.33 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $67.61 | Professional | 53 · Discontinued | $38.90 | $40.74 | $67.61 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $234.42 Typical High $870.96 | Facility | 52 · Reduced service | $123.03 | $234.42 | $870.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $93.33 Typical High $346.74 | Facility | 53 · Discontinued | $48.98 | $93.33 | $346.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $100.00 Typical High $151.36 | Professional | 52 · Reduced service | $97.72 | $100.00 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $39.81 | $60.26 |
Where Texas sits
The same service costs 7.9 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· 6th of 51
$389
AK $724AL $91.20
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.