How much rates vary
Facilitymedian $339 · 10th to 90th $145 to $794Professionalmedian $178 · 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 $741.31 | Facility | None | $95.50 | $186.21 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $144.54 | Professional | None | $87.10 | $93.33 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $199.53 Median $512.86 Typical High $954.99 | Facility | None | $199.53 | $512.86 | $954.99 |
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 $134.90 Median $218.78 Typical High $812.83 | Facility | None | $134.90 | $218.78 | $812.83 |
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 $302.00 Typical High $512.86 | Facility | None | $144.54 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $275.42 | Professional | None | $74.13 | $97.72 | $275.42 |
Health Smart Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Lucent Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $616.60 | Facility | None | $114.82 | $295.12 | $616.60 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $144.54 | Professional | None | $87.10 | $95.50 | $144.54 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $141.25 | Professional | None | $120.23 | $120.23 | $141.25 |
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 $74.13 Median $114.82 Typical High $269.15 | Professional | None | $74.13 | $114.82 | $269.15 |
United Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $144.54 | Facility | None | $52.48 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $288.40 | Professional | None | $87.10 | $104.71 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | None | $70.79 | $70.79 | $74.13 |
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 $48.98 Median $104.71 Typical High $389.05 | Facility | 52 · Reduced service | $48.98 | $104.71 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $41.69 Typical High $154.88 | Facility | 53 · Discontinued | $19.50 | $41.69 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $26.92 | Professional | 53 · Discontinued | $17.38 | $18.20 | $26.92 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $104.71 Typical High $389.05 | Facility | 52 · Reduced service | $54.95 | $104.71 | $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 $43.65 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $43.65 | $44.67 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $22.91 | Professional | 53 · Discontinued | $17.38 | $17.78 | $22.91 |
Where Texas sits
The same service costs 5.0 times more in Kansas 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· 8th of 51
$219
KS $437AL $87.10
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.