How much rates vary
Facilitymedian $692 · 10th to 90th $263 to $1,445Professionalmedian $316 · 10th to 90th $5 to $1,995
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 $162.18 Median $338.84 Typical High $1,348.96 | Facility | None | $162.18 | $338.84 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $269.15 | Professional | None | $147.91 | $162.18 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $446.68 | Professional | None | $162.18 | $162.18 | $446.68 |
BCBS Texas Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $1,513.56 | Facility | None | $346.74 | $851.14 | $1,513.56 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $144.54 Typical High $354.81 | Professional | None | $5.01 | $144.54 | $354.81 |
Baylor Scott & White Setting Facility Modifier None Typical Low $245.47 Median $263.03 Typical High $676.08 | Facility | None | $245.47 | $263.03 | $676.08 |
Baylor Scott & White Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $371.54 | Professional | None | $251.19 | $263.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $575.44 Typical High $812.83 | Facility | None | $213.80 | $575.44 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $446.68 | Professional | None | $128.82 | $165.96 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,995.26 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $1,148.15 | Facility | None | $199.53 | $436.52 | $1,148.15 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $263.03 | Professional | None | $158.49 | $165.96 | $263.03 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None | $218.78 | $218.78 | $251.19 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $630.96 Typical High $1,258.93 | Facility | None | $213.80 | $630.96 | $1,258.93 |
Providence Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $446.68 | Professional | None | $128.82 | $181.97 | $446.68 |
United Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $263.03 | Facility | None | $95.50 | $109.65 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $173.78 | Professional | None | $109.65 | $123.03 | $173.78 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None | $104.71 | $104.71 | $134.90 |
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 $87.10 Median $190.55 Typical High $707.95 | Facility | 52 · Reduced service | $87.10 | $190.55 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $75.86 Typical High $281.84 | Facility | 53 · Discontinued | $34.67 | $75.86 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $81.28 Typical High $123.03 | Professional | 52 · Reduced service | $79.43 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $32.36 | $48.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $100.00 Median $190.55 Typical High $707.95 | Facility | 52 · Reduced service | $100.00 | $190.55 | $707.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $281.84 | Facility | 53 · Discontinued | $39.81 | $75.86 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $79.43 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $32.36 | $41.69 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 3rd of 51
$398
AK $589GA $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.