How much rates vary
Facilitymedian $355 · 10th to 90th $112 to $1,259Professionalmedian $129 · 10th to 90th $5 to $200
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 $162.18 Median $323.59 Typical High $1,348.96 | Facility | None | $162.18 | $323.59 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $338.84 | Professional | None | $147.91 | $173.78 | $338.84 |
BCBS Texas Setting Facility Modifier None Typical Low $323.59 Median $812.83 Typical High $1,412.54 | Facility | None | $323.59 | $812.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $134.90 Typical High $141.25 | Professional | None | $5.01 | $134.90 | $141.25 |
Christus Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $512.86 Typical High $776.25 | Facility | None | $95.50 | $512.86 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $257.04 | Professional | None | $60.26 | $60.26 | $257.04 |
Health Smart Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $354.81 | Professional | None | $223.87 | $234.42 | $354.81 |
Lucent Health Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $371.54 | Professional | None | $223.87 | $234.42 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $537.03 | Facility | None | $177.83 | $245.47 | $537.03 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $295.12 | Professional | None | $147.91 | $181.97 | $295.12 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | None | $186.21 | $208.93 | $208.93 |
Oscar Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $323.59 | Facility | None | $223.87 | $223.87 | $323.59 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $776.25 | Facility | None | $162.18 | $263.03 | $776.25 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $173.78 | Professional | None | $60.26 | $60.26 | $173.78 |
United Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $245.47 | Facility | None | $89.13 | $104.71 | $245.47 |
United Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $147.91 | Professional | None | $91.20 | $104.71 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $128.82 | Professional | None | $31.62 | $31.62 | $128.82 |
8 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 Facility Modifier 52 · Reduced service Typical Low $81.28 Median $177.83 Typical High $660.69 | Facility | 52 · Reduced service | $81.28 | $177.83 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $70.79 Typical High $269.15 | Facility | 53 · Discontinued | $32.36 | $70.79 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $81.28 Typical High $147.91 | Professional | 52 · Reduced service | $74.13 | $81.28 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $60.26 | Professional | 53 · Discontinued | $29.51 | $32.36 | $60.26 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $177.83 Typical High $660.69 | Facility | 52 · Reduced service | $93.33 | $177.83 | $660.69 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $70.79 Typical High $269.15 | Facility | 53 · Discontinued | $37.15 | $70.79 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $77.62 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $30.90 | $47.86 |
Where Texas sits
The same service costs 7.4 times more in Alaska than in Georgia. 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
$141
AK $447GA $60.26
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.