How much rates vary
Facilitymedian $447 · 10th to 90th $170 to $776Professionalmedian $126 · 10th to 90th $22 to $1,023
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 $83.18 Median $131.83 Typical High $389.05 | Facility | None | $83.18 | $131.83 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | None | $83.18 | $109.65 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $125.89 | Professional | None | $107.15 | $117.49 | $125.89 |
BCBS Texas Setting Facility Modifier None Typical Low $190.55 Median $436.52 Typical High $776.25 | Facility | None | $190.55 | $436.52 | $776.25 |
BCBS Texas Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $234.42 | Professional | None | $104.71 | $144.54 | $234.42 |
Baylor Scott & White Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $199.53 | Professional | None | $128.82 | $131.83 | $199.53 |
Christus Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $331.13 | Facility | None | $138.04 | $138.04 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $208.93 | Professional | None | $95.50 | $134.90 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,023.29 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $416.87 Typical High $933.25 | Facility | None | $109.65 | $416.87 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | None | $83.18 | $109.65 | $173.78 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $104.71 Typical High $144.54 | Professional | None | $19.05 | $104.71 | $144.54 |
Oscar Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,047.13 | $2,344.23 | $2,344.23 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $489.78 | Professional | None | $125.89 | $263.03 | $489.78 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $245.47 | Facility | None | $109.65 | $158.49 | $245.47 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $208.93 | Professional | None | $95.50 | $123.03 | $208.93 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $691.83 | Facility | None | $501.19 | $524.81 | $691.83 |
United Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $213.80 | Professional | None | $107.15 | $141.25 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
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 $125.89 Median $125.89 Typical High $138.04 | Professional | 59 · Distinct service | $125.89 | $125.89 | $138.04 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | XU · Unusual separate service | $173.78 | $173.78 | $173.78 |
Where Texas sits
The same service costs 2.8 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
$126
AK $339FL $123
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.