How much rates vary
Facilitymedian $457 · 10th to 90th $186 to $1,585Professionalmedian $302 · 10th to 90th $123 to $2,089
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 $144.54 Median $218.78 Typical High $398.11 | Facility | None | $144.54 | $218.78 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $380.19 | Professional | None | $114.82 | $213.80 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $489.78 | Professional | None | $141.25 | $154.88 | $489.78 |
BCBS Texas Setting Facility Modifier None Typical Low $302.00 Median $616.60 Typical High $1,047.13 | Facility | None | $302.00 | $616.60 | $1,047.13 |
BCBS Texas Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $537.03 | Professional | None | $165.96 | $295.12 | $537.03 |
Baylor Scott & White Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $676.08 | Facility | None | $147.91 | $213.80 | $676.08 |
Baylor Scott & White Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $741.31 | Professional | None | $169.82 | $169.82 | $741.31 |
Christus Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $512.86 | Facility | None | $181.97 | $218.78 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $457.09 | Professional | None | $204.17 | $323.59 | $457.09 |
Lucent Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,235.94 | Professional | None | $2,089.30 | $2,089.30 | $3,235.94 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $575.44 Typical High $1,288.25 | Facility | None | $169.82 | $575.44 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $416.87 | Professional | None | $114.82 | $213.80 | $416.87 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $295.12 Typical High $407.38 | Professional | None | $53.70 | $295.12 | $407.38 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $389.05 | Facility | None | $165.96 | $245.47 | $389.05 |
Providence Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $467.74 | Professional | None | $204.17 | $323.59 | $467.74 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
United Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $426.58 | Professional | None | $158.49 | $263.03 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
4 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 Professional Modifier 52 · Reduced service Typical Low $57.54 Median $107.15 Typical High $162.18 | Professional | 52 · Reduced service | $57.54 | $107.15 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $23.44 | $42.66 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $107.15 Typical High $162.18 | Professional | 52 · Reduced service | $57.54 | $107.15 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $23.44 | $42.66 | $64.57 |
Where Texas sits
The same service costs 4.4 times more in Oklahoma than in Maryland. 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.
Physician feeFacility fee
OK $1,976MD $446
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.