How much rates vary
Facilitymedian $282 · 10th to 90th $123 to $631Professionalmedian $158 · 10th to 90th $5 to $1,023
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 $77.62 Median $162.18 Typical High $588.84 | Facility | None | $77.62 | $162.18 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $138.04 | Professional | None | $64.57 | $77.62 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
BCBS Texas Setting Facility Modifier None Typical Low $169.82 Median $426.58 Typical High $676.08 | Facility | None | $169.82 | $426.58 | $676.08 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $64.57 Typical High $158.49 | Professional | None | $5.01 | $64.57 | $158.49 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $478.63 | Facility | None | $131.83 | $251.19 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $263.03 | Professional | None | $66.07 | $95.50 | $263.03 |
Health Smart Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | None | $870.96 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $218.78 Typical High $630.96 | Facility | None | $87.10 | $218.78 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $125.89 | Professional | None | $69.18 | $87.10 | $125.89 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | None | $97.72 | $97.72 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $245.47 | Professional | None | $112.20 | $125.89 | $245.47 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $281.84 Typical High $489.78 | Facility | None | $93.33 | $281.84 | $489.78 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $257.04 | Professional | None | $66.07 | $112.20 | $257.04 |
United Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $117.49 | Facility | None | $41.69 | $48.98 | $117.49 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $263.03 | Professional | None | $69.18 | $100.00 | $263.03 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | None | $66.07 | $66.07 | $117.49 |
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 $38.90 Median $83.18 Typical High $316.23 | Facility | 52 · Reduced service | $38.90 | $83.18 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $33.88 Typical High $125.89 | Facility | 53 · Discontinued | $15.49 | $33.88 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $34.67 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $14.79 | $18.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $43.65 Median $83.18 Typical High $316.23 | Facility | 52 · Reduced service | $43.65 | $83.18 | $316.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $33.88 Typical High $125.89 | Facility | 53 · Discontinued | $17.78 | $33.88 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $32.36 | $36.31 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $14.79 | $18.62 |
Where Texas sits
The same service costs 6.3 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· 7th of 51
$234
AK $389AL $61.66
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.