How much rates vary
Facilitymedian $40 · 10th to 90th $29 to $209Professionalmedian $174 · 10th to 90th $33 to $427
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 $190.55 Median $204.17 Typical High $302.00 | Facility | None | $190.55 | $204.17 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $302.00 | Professional | None | $190.55 | $234.42 | $302.00 |
Aetna Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | RR · Rental | $13.80 | $13.80 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | None | $173.78 | $173.78 | $208.93 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $28.18 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $28.18 | $39.81 | $39.81 |
BCBS Texas Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $138.04 | Facility | None | $34.67 | $63.10 | $138.04 |
BCBS Texas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Christus Setting Facility Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $28.84 | Facility | RR · Rental | $21.38 | $21.38 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Facility | None | $194.98 | $194.98 | $251.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $25.70 | Facility | RR · Rental | $19.50 | $19.50 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $251.19 | Professional | None | $165.96 | $194.98 | $251.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.60 Median $19.50 Typical High $25.12 | Professional | RR · Rental | $16.60 | $19.50 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $28.84 Median $41.69 Typical High $239.88 | Facility | None | $28.84 | $41.69 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $302.00 | Professional | None | $190.55 | $234.42 | $302.00 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | RR · Rental | $13.80 | $13.80 | $23.99 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $81.28 Typical High $436.52 | Professional | None | $43.65 | $81.28 | $436.52 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $194.98 Typical High $251.19 | Facility | None | $28.84 | $194.98 | $251.19 |
Providence Setting Facility Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $25.70 | Facility | RR · Rental | $19.50 | $19.50 | $25.70 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | None | $165.96 | $194.98 | $234.42 |
Providence Setting Professional Modifier RR · Rental Typical Low $16.60 Median $19.50 Typical High $25.12 | Professional | RR · Rental | $16.60 | $19.50 | $25.12 |
United Setting Professional Modifier None Typical Low $14.13 Median $218.78 Typical High $316.23 | Professional | None | $14.13 | $218.78 | $316.23 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $25.12 Typical High $34.67 | Professional | RR · Rental | $19.50 | $25.12 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $426.58 | Professional | None | $223.87 | $223.87 | $426.58 |
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 UE · Used equipment Typical Low $144.54 Median $173.78 Typical High $229.09 | Professional | UE · Used equipment | $144.54 | $173.78 | $229.09 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $173.78 Typical High $229.09 | Professional | UE · Used equipment | $144.54 | $173.78 | $229.09 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Where Texas sits
The same service costs 27.5 times more in Kansas than in Illinois. 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· 46th of 51
$74.13
KS $832IL $30.20
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.