How much rates vary
Facilitymedian $1,318 · 10th to 90th $832 to $3,311Professionalmedian $724 · 10th to 90th $145 to $5,754
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 $707.95 Median $933.25 Typical High $2,754.23 | Facility | None | $707.95 | $933.25 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,122.02 | Professional | None | $588.84 | $707.95 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $707.95 Typical High $724.44 | Professional | None | $251.19 | $707.95 | $724.44 |
BCBS Texas Setting Facility Modifier None Typical Low $954.99 Median $2,137.96 Typical High $3,801.89 | Facility | None | $954.99 | $2,137.96 | $3,801.89 |
BCBS Texas Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,288.25 | Professional | None | $676.08 | $954.99 | $1,288.25 |
Baylor Scott & White Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Christus Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $380.19 Typical High $707.95 | Facility | None | $134.90 | $380.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,071.52 | Professional | None | $602.56 | $891.25 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,754.40 | $6,606.93 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $741.31 Typical High $1,445.44 | Facility | None | $346.74 | $741.31 | $1,445.44 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,122.02 | Professional | None | $588.84 | $724.44 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $645.65 Typical High $794.33 | Professional | None | $117.49 | $645.65 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $707.95 Median $1,348.96 Typical High $1,621.81 | Professional | None | $707.95 | $1,348.96 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $724.44 Typical High $1,096.48 | Facility | None | $141.25 | $724.44 | $1,096.48 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,122.02 | Professional | None | $602.56 | $891.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $776.25 | Facility | None | $562.34 | $588.84 | $776.25 |
United Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $891.25 | Professional | None | $363.08 | $645.65 | $891.25 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $616.60 Median $676.08 Typical High $724.44 | Professional | 59 · Distinct service | $616.60 | $676.08 | $724.44 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | XU · Unusual separate service | $707.95 | $707.95 | $707.95 |
Where Texas sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 44th of 51
$741
AK $1,738KY $537
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.