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 $741.31 Median $794.33 Typical High $1,174.90 | Facility | None | $741.31 | $794.33 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,202.26 | Professional | None | $741.31 | $912.01 | $1,202.26 |
BCBS Texas Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $426.58 | Facility | None | $120.23 | $194.98 | $426.58 |
BCBS Texas Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Christus Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Christus Setting Facility Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $154.88 | Facility | RR · Rental | $114.82 | $114.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | RR · Rental | $74.13 | $74.13 | $100.00 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $977.24 Median $1,230.27 Typical High $1,230.27 | Professional | RR · Rental | $977.24 | $1,230.27 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $794.33 | Facility | None | $75.86 | $154.88 | $794.33 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,174.90 | Professional | None | $741.31 | $891.25 | $1,174.90 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $93.33 Median $144.54 Typical High $186.21 | Professional | RR · Rental | $93.33 | $144.54 | $186.21 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $1,047.13 | Professional | None | $81.28 | $104.71 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $478.63 | Facility | None | $81.28 | $100.00 | $478.63 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Providence Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | RR · Rental | $74.13 | $74.13 | $100.00 |
United Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $691.83 | Professional | None | $63.10 | $85.11 | $691.83 |
United Setting Professional Modifier RR · Rental Typical Low $51.29 Median $74.13 Typical High $100.00 | Professional | RR · Rental | $51.29 | $74.13 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $676.08 Typical High $933.25 | Professional | UE · Used equipment | $549.54 | $676.08 | $933.25 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $660.69 Typical High $870.96 | Professional | UE · Used equipment | $549.54 | $660.69 | $870.96 |
Where Texas sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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
$100
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.