How much rates vary
Facilitymedian $851 · 10th to 90th $437 to $2,138Professionalmedian $347 · 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 $257.04 Median $501.19 Typical High $2,137.96 | Facility | None | $257.04 | $501.19 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $501.19 | Professional | None | $251.19 | $275.42 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
BCBS Texas Setting Facility Modifier None Typical Low $457.09 Median $1,230.27 Typical High $2,398.83 | Facility | None | $457.09 | $1,230.27 | $2,398.83 |
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 Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $588.84 | Professional | None | $295.12 | $416.87 | $588.84 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $1,288.25 | Facility | None | $416.87 | $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 $316.23 Median $831.76 Typical High $1,737.80 | Facility | None | $316.23 | $831.76 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $478.63 | Professional | None | $251.19 | $275.42 | $478.63 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | None | $346.74 | $346.74 | $398.11 |
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 $323.59 Typical High $776.25 | Professional | None | $234.42 | $323.59 | $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 $338.84 | Professional | None | $173.78 | $239.88 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
9 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 $56.23 Median $120.23 Typical High $446.68 | Facility | 53 · Discontinued | $56.23 | $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 Facility Modifier 59 · Distinct service Typical Low $776.25 Median $870.96 Typical High $1,071.52 | Facility | 59 · Distinct service | $776.25 | $870.96 | $1,071.52 |
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· 10th of 51
$537
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.