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 $2,137.96 Median $2,290.87 Typical High $3,388.44 | Facility | None | $2,137.96 | $2,290.87 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,137.96 | $2,754.23 | $3,388.44 |
BCBS Texas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Christus Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Christus Setting Facility Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $346.74 | Facility | RR · Rental | $138.04 | $138.04 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,019.95 | Facility | None | $2,290.87 | $2,290.87 | $3,019.95 |
Cigna Setting Facility Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $323.59 | Facility | RR · Rental | $229.09 | $229.09 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,290.87 | $3,019.95 |
Cigna Setting Professional Modifier RR · Rental Typical Low $194.98 Median $229.09 Typical High $302.00 | Professional | RR · Rental | $194.98 | $229.09 | $302.00 |
Health Smart Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Health Smart Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $2,754.23 Typical High $4,073.80 | Facility | None | $346.74 | $2,754.23 | $4,073.80 |
Moda Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,388.44 | Professional | None | $1,995.26 | $2,754.23 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $288.40 Typical High $2,884.03 | Professional | None | $81.28 | $288.40 | $2,884.03 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $2,290.87 Typical High $3,388.44 | Facility | None | $346.74 | $2,290.87 | $3,388.44 |
Providence Setting Facility Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $323.59 | Facility | RR · Rental | $229.09 | $229.09 | $323.59 |
Providence Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,290.87 | $3,019.95 |
Providence Setting Professional Modifier RR · Rental Typical Low $194.98 Median $229.09 Typical High $302.00 | Professional | RR · Rental | $194.98 | $229.09 | $302.00 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,584.89 | $2,454.71 |
United Setting Professional Modifier RR · Rental Typical Low $138.04 Median $213.80 Typical High $338.84 | Professional | RR · Rental | $138.04 | $213.80 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,089.30 | $4,265.80 |
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 $1,584.89 Median $2,041.74 Typical High $2,511.89 | Professional | UE · Used equipment | $1,584.89 | $2,041.74 | $2,511.89 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $1,584.89 Median $1,995.26 Typical High $2,511.89 | Professional | UE · Used equipment | $1,584.89 | $1,995.26 | $2,511.89 |
Where Texas sits
The same service costs 10.7 times more in Kansas than in Montana. 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· 43rd of 51
$1,738
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.