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 $165.96 Median $199.53 Typical High $218.78 | Facility | None | $165.96 | $199.53 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $223.87 | Professional | None | $165.96 | $199.53 | $223.87 |
BCBS Texas Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $954.99 | Facility | None | $229.09 | $524.81 | $954.99 |
BCBS Texas Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
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 $169.82 Median $218.78 Typical High $295.12 | Professional | None | $169.82 | $218.78 | $295.12 |
Lucent Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,995.26 | $2,818.38 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $346.74 | Facility | None | $165.96 | $251.19 | $346.74 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $223.87 | Professional | None | $165.96 | $199.53 | $223.87 |
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 $331.13 Median $1,318.26 Typical High $251,188.64 | Facility | None | $331.13 | $1,318.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $295.12 | Professional | None | $169.82 | $218.78 | $295.12 |
United Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $371.54 | Professional | None | $177.83 | $239.88 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $83.18 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $83.18 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $33.11 | $39.81 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $83.18 | $100.00 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $39.81 | $44.67 |
Where Texas sits
The same service costs 67.6 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· 3rd of 51
$490
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.