How much rates vary
Facilitymedian $437 · 10th to 90th $158 to $776Professionalmedian $204 · 10th to 90th $5 to $1,230
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 $93.33 Median $204.17 Typical High $758.58 | Facility | None | $93.33 | $204.17 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $154.88 | Professional | None | $79.43 | $93.33 | $154.88 |
BCBS Texas Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $831.76 | Facility | None | $213.80 | $512.86 | $831.76 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $77.62 Typical High $190.55 | Professional | None | $5.01 | $77.62 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $309.03 Typical High $575.44 | Facility | None | $158.49 | $309.03 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $316.23 | Professional | None | $79.43 | $114.82 | $316.23 |
Health Smart Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $323.59 Typical High $758.58 | Facility | None | $107.15 | $323.59 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $162.18 | Professional | None | $85.11 | $93.33 | $162.18 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | None | $117.49 | $117.49 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $302.00 | Professional | None | $138.04 | $151.36 | $302.00 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $346.74 Typical High $588.84 | Facility | None | $112.20 | $346.74 | $588.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $309.03 | Professional | None | $79.43 | $141.25 | $309.03 |
United Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $141.25 | Facility | None | $50.12 | $58.88 | $141.25 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $316.23 | Professional | None | $85.11 | $120.23 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $141.25 | Professional | None | $79.43 | $79.43 | $141.25 |
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 $46.77 Median $102.33 Typical High $380.19 | Facility | 52 · Reduced service | $46.77 | $102.33 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $40.74 Typical High $151.36 | Facility | 53 · Discontinued | $19.05 | $40.74 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $17.78 | $22.39 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $53.70 Median $102.33 Typical High $380.19 | Facility | 52 · Reduced service | $53.70 | $102.33 | $380.19 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $40.74 Typical High $151.36 | Facility | 53 · Discontinued | $21.38 | $40.74 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $44.67 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $17.78 | $22.39 |
Where Texas sits
The same service costs 6.0 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· 2nd of 51
$363
AK $389AL $64.57
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.