How much rates vary
Facilitymedian $245 · 10th to 90th $110 to $871Professionalmedian $186 · 10th to 90th $36 to $427
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 $147.91 Median $190.55 Typical High $562.34 | Facility | None | $147.91 | $190.55 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $263.03 | Professional | None | $123.03 | $151.36 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
BCBS Texas Setting Facility Modifier None Typical Low $269.15 Median $616.60 Typical High $1,096.48 | Facility | None | $269.15 | $616.60 | $1,096.48 |
BCBS Texas Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $426.58 | Professional | None | $147.91 | $208.93 | $426.58 |
Christus Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $338.84 | Professional | None | $131.83 | $208.93 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $549.54 | Facility | None | $147.91 | $186.21 | $549.54 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $269.15 | Professional | None | $123.03 | $151.36 | $269.15 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $169.82 Typical High $208.93 | Professional | None | $30.20 | $169.82 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $363.08 | Professional | None | $144.54 | $281.84 | $363.08 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $338.84 | Facility | None | $147.91 | $213.80 | $338.84 |
Providence Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $323.59 | Professional | None | $131.83 | $204.17 | $323.59 |
United Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $346.74 | Professional | None | $154.88 | $213.80 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
7 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 $74.13 Median $95.50 Typical High $281.84 | Facility | 52 · Reduced service | $74.13 | $95.50 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $112.20 | Facility | 53 · Discontinued | $29.51 | $38.90 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $60.26 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $30.20 | $40.74 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | 59 · Distinct service | $138.04 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $60.26 | $75.86 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $24.55 | $30.20 | $38.90 |
Where Texas sits
The same service costs 2.5 times more in Minnesota than in Florida. 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· 48th of 51
$186
MN $407FL $162
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.