How much rates vary
Facilitymedian $537 · 10th to 90th $191 to $1,023Professionalmedian $234 · 10th to 90th $5 to $1,445
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 $114.82 Median $251.19 Typical High $933.25 | Facility | None | $114.82 | $251.19 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $173.78 | Professional | None | $104.71 | $109.65 | $173.78 |
BCBS Texas Setting Facility Modifier None Typical Low $263.03 Median $630.96 Typical High $1,047.13 | Facility | None | $263.03 | $630.96 | $1,047.13 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $95.50 Typical High $234.42 | Professional | None | $5.01 | $95.50 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $380.19 Typical High $691.83 | Facility | None | $186.21 | $380.19 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $363.08 | Professional | None | $93.33 | $128.82 | $363.08 |
Health Smart Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Lucent Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,445.44 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $870.96 | Facility | None | $114.82 | $208.93 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $173.78 | Professional | None | $104.71 | $109.65 | $173.78 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None | $144.54 | $144.54 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $371.54 | Professional | None | $169.82 | $186.21 | $371.54 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $426.58 Typical High $758.58 | Facility | None | $138.04 | $426.58 | $758.58 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $154.88 Typical High $338.84 | Professional | None | $93.33 | $154.88 | $338.84 |
United Setting Facility Modifier None Typical Low $63.10 Median $72.44 Typical High $173.78 | Facility | None | $63.10 | $72.44 | $173.78 |
United Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $346.74 | Professional | None | $104.71 | $138.04 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
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 $57.54 Median $125.89 Typical High $467.74 | Facility | 52 · Reduced service | $57.54 | $125.89 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $50.12 Typical High $186.21 | Facility | 53 · Discontinued | $23.44 | $50.12 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $52.48 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $20.89 | $21.88 | $32.36 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $66.07 Median $125.89 Typical High $467.74 | Facility | 52 · Reduced service | $66.07 | $125.89 | $467.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $186.21 | Facility | 53 · Discontinued | $26.30 | $50.12 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $53.70 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $20.89 | $21.38 | $27.54 |
Where Texas sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 5th of 51
$347
KS $501IL $135
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.