How much rates vary
Facilitymedian $324 · 10th to 90th $204 to $1,122Professionalmedian $120 · 10th to 90th $5 to $209
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 $144.54 Median $302.00 Typical High $1,174.90 | Facility | None | $144.54 | $302.00 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $263.03 | Professional | None | $131.83 | $138.04 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $707.95 Typical High $1,258.93 | Facility | None | $257.04 | $707.95 | $1,258.93 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $120.23 Typical High $158.49 | Professional | None | $5.01 | $120.23 | $158.49 |
Baylor Scott & White Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $489.78 | Facility | None | $199.53 | $275.42 | $489.78 |
Christus Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $478.63 Typical High $676.08 | Facility | None | $147.91 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $316.23 | Professional | None | $87.10 | $112.20 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $407.38 | Facility | None | $134.90 | $218.78 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $218.78 | Professional | None | $131.83 | $138.04 | $218.78 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $181.97 | Professional | None | $154.88 | $162.18 | $181.97 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $676.08 | Facility | None | $151.36 | $229.09 | $676.08 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $229.09 | Professional | None | $87.10 | $112.20 | $229.09 |
United Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $218.78 | Facility | None | $77.62 | $91.20 | $218.78 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $218.78 | Professional | None | $91.20 | $91.20 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | None | $87.10 | $87.10 | $112.20 |
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 $72.44 Median $158.49 Typical High $588.84 | Facility | 52 · Reduced service | $72.44 | $158.49 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $63.10 Typical High $234.42 | Facility | 53 · Discontinued | $28.84 | $63.10 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $72.44 Typical High $131.83 | Professional | 52 · Reduced service | $66.07 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $52.48 | Professional | 53 · Discontinued | $26.30 | $28.84 | $52.48 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $83.18 Median $158.49 Typical High $588.84 | Facility | 52 · Reduced service | $83.18 | $158.49 | $588.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $63.10 Typical High $234.42 | Facility | 53 · Discontinued | $33.11 | $63.10 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $67.61 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $26.92 | $42.66 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 23rd of 51
$214
AK $490WV $132
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.