How much rates vary
Facilitymedian $933 · 10th to 90th $407 to $2,239Professionalmedian $372 · 10th to 90th $5 to $3,090
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 $275.42 Median $537.03 Typical High $2,137.96 | Facility | None | $275.42 | $537.03 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $389.05 | Professional | None | $251.19 | $263.03 | $389.05 |
BCBS Texas Setting Facility Modifier None Typical Low $575.44 Median $1,445.44 Typical High $2,454.71 | Facility | None | $575.44 | $1,445.44 | $2,454.71 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $229.09 Typical High $562.34 | Professional | None | $5.01 | $229.09 | $562.34 |
Baylor Scott & White Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $933.25 | Facility | None | $398.11 | $562.34 | $933.25 |
Christus Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $1,288.25 | Facility | None | $512.86 | $912.01 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $812.83 | Professional | None | $234.42 | $288.40 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,089.30 | $3,090.30 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $630.96 Typical High $1,548.82 | Facility | None | $288.40 | $630.96 | $1,548.82 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $416.87 | Professional | None | $251.19 | $263.03 | $416.87 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $891.25 | Professional | None | $407.38 | $446.68 | $891.25 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $1,023.29 Typical High $2,238.72 | Facility | None | $354.81 | $1,023.29 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $776.25 | Professional | None | $234.42 | $331.13 | $776.25 |
United Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $416.87 | Facility | None | $151.36 | $173.78 | $416.87 |
United Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $346.74 | Professional | None | $173.78 | $239.88 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
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 $138.04 Median $302.00 Typical High $1,122.02 | Facility | 52 · Reduced service | $138.04 | $302.00 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $120.23 Typical High $446.68 | Facility | 53 · Discontinued | $54.95 | $120.23 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $131.83 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $131.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $52.48 | $77.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $302.00 Typical High $1,122.02 | Facility | 52 · Reduced service | $158.49 | $302.00 | $1,122.02 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $120.23 Typical High $446.68 | Facility | 53 · Discontinued | $63.10 | $120.23 | $446.68 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $128.82 Typical High $165.96 | Professional | 52 · Reduced service | $125.89 | $128.82 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $66.07 | Professional | 53 · Discontinued | $50.12 | $51.29 | $66.07 |
Where Texas sits
The same service costs 5.4 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· 9th of 51
$562
AK $933AL $174
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.