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 $239.88 Median $257.04 Typical High $380.19 | Facility | None | $239.88 | $257.04 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $380.19 | Professional | None | $239.88 | $275.42 | $380.19 |
Aetna Setting Professional Modifier RR · Rental Typical Low $14.45 Median $72.44 Typical High $85.11 | Professional | RR · Rental | $14.45 | $72.44 | $85.11 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
BCBS Texas Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $218.78 | Facility | None | $56.23 | $102.33 | $218.78 |
BCBS Texas Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $54.95 | Professional | None | $40.74 | $54.95 | $54.95 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $48.98 | Facility | RR · Rental | $46.77 | $46.77 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $316.23 | Facility | None | $31.62 | $31.62 | $316.23 |
Cigna Setting Facility Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $38.90 | Facility | RR · Rental | $31.62 | $31.62 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Health Smart Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Health Smart Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $251.19 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $251.19 | $371.54 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $15.14 Median $51.29 Typical High $302.00 | Facility | None | $15.14 | $51.29 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $380.19 | Professional | None | $239.88 | $275.42 | $380.19 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $14.45 Median $44.67 Typical High $85.11 | Professional | RR · Rental | $14.45 | $44.67 | $85.11 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $81.28 | Professional | None | $58.88 | $81.28 | $81.28 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $316.23 | Facility | None | $30.90 | $38.90 | $316.23 |
Providence Setting Facility Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $38.90 | Facility | RR · Rental | $31.62 | $31.62 | $38.90 |
Providence Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Providence Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $51.29 | Professional | None | $19.50 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $28.18 Typical High $46.77 | Professional | RR · Rental | $19.50 | $28.18 | $46.77 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $177.83 Median $208.93 Typical High $281.84 | Professional | UE · Used equipment | $177.83 | $208.93 | $281.84 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $208.93 Typical High $281.84 | Professional | UE · Used equipment | $177.83 | $208.93 | $281.84 |
Where Texas sits
The same service costs 30.2 times more in Wyoming 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· 20th of 51
$269
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.