How much rates vary
Facilitymedian $135 · 10th to 90th $71 to $347Professionalmedian $47 · 10th to 90th $5 to $398
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 $35.48 Median $60.26 Typical High $158.49 | Facility | None | $35.48 | $60.26 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $74.13 | Professional | None | $35.48 | $46.77 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $60.26 | Professional | None | $46.77 | $54.95 | $60.26 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $316.23 | Facility | None | $79.43 | $177.83 | $316.23 |
BCBS Texas Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $87.10 | Professional | None | $45.71 | $63.10 | $87.10 |
Baylor Scott & White Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $218.78 | Facility | None | $72.44 | $72.44 | $218.78 |
Baylor Scott & White Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $81.28 | Professional | None | $54.95 | $66.07 | $81.28 |
Christus Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Facility | None | $63.10 | $63.10 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $87.10 | Professional | None | $40.74 | $57.54 | $87.10 |
Lucent Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $501.19 | Professional | None | $398.11 | $398.11 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $269.15 Typical High $645.65 | Facility | None | $50.12 | $269.15 | $645.65 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $74.13 | Professional | None | $35.48 | $46.77 | $74.13 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $26.30 Typical High $36.31 | Professional | None | $4.79 | $26.30 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $3,801.89 | Facility | None | $1,513.56 | $2,398.83 | $3,801.89 |
Oscar Health Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $208.93 | Professional | None | $57.54 | $114.82 | $208.93 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $95.50 | Facility | None | $46.77 | $67.61 | $95.50 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $83.18 | Professional | None | $40.74 | $53.70 | $83.18 |
United Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $151.36 | Facility | None | $109.65 | $112.20 | $151.36 |
United Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $87.10 | Professional | None | $44.67 | $61.66 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 59 · Distinct service | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | XU · Unusual separate service | $74.13 | $74.13 | $74.13 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 50th of 51
$46.77
AK $151UT $33.11
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.