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 $194.98 Median $194.98 Typical High $223.87 | Facility | None | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $223.87 | Professional | None | $169.82 | $199.53 | $223.87 |
BCBS Texas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,445.44 | $2,398.83 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $302.00 | Facility | None | $194.98 | $281.84 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $223.87 | Professional | None | $169.82 | $199.53 | $223.87 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $263.03 Typical High $263.03 | Professional | None | $81.28 | $263.03 | $263.03 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $316.23 | Facility | None | $194.98 | $281.84 | $316.23 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $239.88 | Professional | None | $120.23 | $144.54 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier KF · Class III device Typical Low $239.88 Median $251.19 Typical High $269.15 | Professional | KF · Class III device | $239.88 | $251.19 | $269.15 |
Where Texas sits
The same service costs 2.1 times more in Montana than in Hawaii. 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· 47th of 51
$162
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.