How much rates vary
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 $331.13 Median $398.11 Typical High $436.52 | Facility | None | $331.13 | $398.11 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $446.68 | Professional | None | $331.13 | $398.11 | $446.68 |
BCBS Texas Setting Facility Modifier None Typical Low $457.09 Median $1,071.52 Typical High $1,905.46 | Facility | None | $457.09 | $1,071.52 | $1,905.46 |
BCBS Texas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,513.56 | Facility | None | $891.25 | $1,096.48 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $588.84 | Professional | None | $338.84 | $436.52 | $588.84 |
Lucent Health Setting Professional Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $5,623.41 | Professional | None | $3,981.07 | $5,623.41 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $691.83 | Facility | None | $331.13 | $512.86 | $691.83 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $446.68 | Professional | None | $331.13 | $398.11 | $446.68 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $251,188.64 | Facility | None | $660.69 | $1,318.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $588.84 | Professional | None | $338.84 | $436.52 | $588.84 |
United Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $741.31 | Professional | None | $354.81 | $489.78 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
4 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 Professional Modifier 52 · Reduced service Typical Low $165.96 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $66.07 | $79.43 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $165.96 | $199.53 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $66.07 | $79.43 | $89.13 |
Where Texas sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 4th of 51
$933
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.