How much rates vary
Facilitymedian $468 · 10th to 90th $166 to $933Professionalmedian $204 · 10th to 90th $5 to $1,318
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 $100.00 Median $218.78 Typical High $812.83 | Facility | None | $100.00 | $218.78 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $151.36 | Professional | None | $91.20 | $95.50 | $151.36 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $562.34 Typical High $1,000.00 | Facility | None | $229.09 | $562.34 | $1,000.00 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $83.18 Typical High $204.17 | Professional | None | $5.01 | $83.18 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $331.13 Typical High $616.60 | Facility | None | $169.82 | $331.13 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $331.13 | Professional | None | $85.11 | $114.82 | $331.13 |
Health Smart Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,258.93 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $758.58 | Facility | None | $100.00 | $181.97 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $154.88 | Professional | None | $91.20 | $100.00 | $154.88 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $323.59 | Professional | None | $147.91 | $162.18 | $323.59 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $371.54 Typical High $691.83 | Facility | None | $120.23 | $371.54 | $691.83 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $309.03 | Professional | None | $85.11 | $138.04 | $309.03 |
United Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $151.36 | Facility | None | $53.70 | $63.10 | $151.36 |
United Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $302.00 | Professional | None | $91.20 | $125.89 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 $50.12 Median $107.15 Typical High $407.38 | Facility | 52 · Reduced service | $50.12 | $107.15 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $43.65 Typical High $162.18 | Facility | 53 · Discontinued | $19.95 | $43.65 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $47.86 Typical High $70.79 | Professional | 52 · Reduced service | $44.67 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $28.18 | Professional | 53 · Discontinued | $18.20 | $19.05 | $28.18 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $107.15 Typical High $407.38 | Facility | 52 · Reduced service | $56.23 | $107.15 | $407.38 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $43.65 Typical High $162.18 | Facility | 53 · Discontinued | $22.91 | $43.65 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $46.77 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $18.62 | $23.99 |
Where Texas sits
The same service costs 2.9 times more in Alaska than in New Jersey. 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
$302
AK $339NJ $117
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.