How much rates vary
Facilitymedian $339 · 10th to 90th $145 to $794Professionalmedian $195 · 10th to 90th $5 to $1,096
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 $95.50 Median $186.21 Typical High $724.44 | Facility | None | $95.50 | $186.21 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | None | $81.28 | $95.50 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $194.98 Median $512.86 Typical High $831.76 | Facility | None | $194.98 | $512.86 | $831.76 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $79.43 Typical High $194.98 | Professional | None | $5.01 | $79.43 | $194.98 |
Baylor Scott & White Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $831.76 | Facility | None | $131.83 | $223.87 | $831.76 |
Christus Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $524.81 | Facility | None | $144.54 | $309.03 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $281.84 | Professional | None | $72.44 | $114.82 | $281.84 |
Health Smart Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Lucent Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $316.23 Typical High $794.33 | Facility | None | $93.33 | $316.23 | $794.33 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $147.91 | Professional | None | $87.10 | $100.00 | $147.91 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | None | $120.23 | $120.23 | $138.04 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $309.03 | Professional | None | $141.25 | $154.88 | $309.03 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $354.81 Typical High $588.84 | Facility | None | $114.82 | $354.81 | $588.84 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $275.42 | Professional | None | $72.44 | $138.04 | $275.42 |
United Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $144.54 | Facility | None | $51.29 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $323.59 | Professional | None | $87.10 | $114.82 | $323.59 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $144.54 | Professional | None | $70.79 | $70.79 | $144.54 |
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 $47.86 Median $102.33 Typical High $389.05 | Facility | 52 · Reduced service | $47.86 | $102.33 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $41.69 Typical High $154.88 | Facility | 53 · Discontinued | $19.05 | $41.69 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $45.71 Typical High $57.54 | Professional | 52 · Reduced service | $42.66 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $17.38 | $18.20 | $22.91 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $102.33 Typical High $389.05 | Facility | 52 · Reduced service | $54.95 | $102.33 | $389.05 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $41.69 Typical High $154.88 | Facility | 53 · Discontinued | $21.88 | $41.69 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $45.71 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $45.71 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $17.38 | $18.20 | $22.91 |
Where Texas sits
The same service costs 5.6 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
$275
AK $427AL $75.86
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.