How much rates vary
Facilitymedian $324 · 10th to 90th $115 to $813Professionalmedian $132 · 10th to 90th $22 to $1,349
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 Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $257.04 | Professional | None | $125.89 | $194.98 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | None | $128.82 | $128.82 | $138.04 |
BCBS Texas Setting Facility Modifier None Typical Low $223.87 Median $524.81 Typical High $891.25 | Facility | None | $223.87 | $524.81 | $891.25 |
BCBS Texas Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $363.08 | Professional | None | $120.23 | $169.82 | $363.08 |
Christus Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $204.17 Typical High $295.12 | Facility | None | $95.50 | $204.17 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $416.87 | Professional | None | $102.33 | $120.23 | $416.87 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $316.23 | Facility | None | $123.03 | $173.78 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $245.47 | Professional | None | $131.83 | $194.98 | $245.47 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $112.20 Typical High $138.04 | Professional | None | $19.95 | $112.20 | $138.04 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $295.12 | Professional | None | $125.89 | $245.47 | $295.12 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $295.12 | Facility | None | $100.00 | $173.78 | $295.12 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $416.87 | Professional | None | $102.33 | $218.78 | $416.87 |
United Setting Facility Modifier None Typical Low $144.54 Median $151.36 Typical High $199.53 | Facility | None | $144.54 | $151.36 | $199.53 |
United Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $281.84 | Professional | None | $128.82 | $177.83 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 $60.26 Median $79.43 Typical High $234.42 | Facility | 52 · Reduced service | $60.26 | $79.43 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $93.33 | Facility | 53 · Discontinued | $24.55 | $31.62 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $63.10 Typical High $83.18 | Professional | 52 · Reduced service | $50.12 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $33.88 | Professional | 53 · Discontinued | $19.95 | $25.12 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $61.66 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $24.55 Typical High $31.62 | Professional | 53 · Discontinued | $19.95 | $24.55 | $31.62 |
Where Texas sits
The same service costs 5.0 times more in Alaska 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· 49th of 51
$132
AK $575FL $115
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.