How much rates vary
Facilitymedian $282 · 10th to 90th $141 to $617Professionalmedian $229 · 10th to 90th $42 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 $60.26 Median $77.62 Typical High $229.09 | Facility | None | $60.26 | $77.62 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $323.59 | Professional | None | $48.98 | $61.66 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $234.42 Typical High $234.42 | Professional | None | $38.02 | $234.42 | $234.42 |
BCBS Texas Setting Facility Modifier None Typical Low $154.88 Median $380.19 Typical High $691.83 | Facility | None | $154.88 | $380.19 | $691.83 |
BCBS Texas Setting Professional Modifier None Typical Low $134.90 Median $281.84 Typical High $281.84 | Professional | None | $134.90 | $281.84 | $281.84 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $147.91 | Facility | None | $112.20 | $114.82 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $316.23 | Professional | None | $190.55 | $269.15 | $316.23 |
Lucent Health Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,318.26 | $2,187.76 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $109.65 Typical High $436.52 | Facility | None | $60.26 | $109.65 | $436.52 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $323.59 | Professional | None | $48.98 | $63.10 | $323.59 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $223.87 Typical High $281.84 | Professional | None | $39.81 | $223.87 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $537.03 | Professional | None | $234.42 | $446.68 | $537.03 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $239.88 | Facility | None | $60.26 | $89.13 | $239.88 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $316.23 | Professional | None | $190.55 | $269.15 | $316.23 |
United Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Facility | None | $199.53 | $208.93 | $275.42 |
United Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $69.18 | Professional | None | $30.90 | $42.66 | $69.18 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
6 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 $30.20 Median $38.02 Typical High $114.82 | Facility | 52 · Reduced service | $30.20 | $38.02 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $15.49 Typical High $45.71 | Facility | 53 · Discontinued | $12.02 | $15.49 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.20 Typical High $57.54 | Professional | 52 · Reduced service | $24.55 | $30.20 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.02 Typical High $22.91 | Professional | 53 · Discontinued | $9.77 | $12.02 | $22.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.20 Typical High $40.74 | Professional | 52 · Reduced service | $24.55 | $30.20 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.02 Typical High $16.22 | Professional | 53 · Discontinued | $9.77 | $12.02 | $16.22 |
Where Texas sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 28th of 51
$234
MN $537IN $39.81
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.