How much rates vary
Facilitymedian $2,692 · 10th to 90th $501 to $4,365Professionalmedian $2,291 · 10th to 90th $355 to $3,548
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 $2,754.23 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,754.23 | $2,951.21 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $4,365.16 | Professional | None | $2,754.23 | $3,311.31 | $4,365.16 |
Ambetter Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
BCBS Texas Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Baylor Scott & White Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Christus Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Christus Setting Facility Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $501.19 | Facility | RR · Rental | $199.53 | $199.53 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,265.80 | Facility | None | $2,691.53 | $2,691.53 | $4,265.80 |
Cigna Setting Facility Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $426.58 | Facility | RR · Rental | $269.15 | $269.15 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,467.37 | Professional | None | $2,290.87 | $2,691.53 | $3,467.37 |
Cigna Setting Professional Modifier RR · Rental Typical Low $229.09 Median $269.15 Typical High $288.40 | Professional | RR · Rental | $229.09 | $269.15 | $288.40 |
Health Smart Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Health Smart Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $3,019.95 Typical High $4,466.84 | Facility | None | $501.19 | $3,019.95 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,691.53 | $3,235.94 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $354.81 Typical High $3,548.13 | Professional | None | $81.28 | $354.81 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $4,365.16 | Facility | None | $501.19 | $2,691.53 | $4,365.16 |
Providence Setting Facility Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $426.58 | Facility | RR · Rental | $269.15 | $269.15 | $426.58 |
Providence Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,467.37 | Professional | None | $2,290.87 | $2,691.53 | $3,467.37 |
Providence Setting Professional Modifier RR · Rental Typical Low $229.09 Median $269.15 Typical High $288.40 | Professional | RR · Rental | $229.09 | $269.15 | $288.40 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,479.11 | $1,905.46 | $2,884.03 |
United Setting Professional Modifier RR · Rental Typical Low $154.88 Median $245.47 Typical High $371.54 | Professional | RR · Rental | $154.88 | $245.47 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,128.61 | Professional | None | $2,951.21 | $2,951.21 | $5,128.61 |
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 $2,041.74 Median $2,454.71 Typical High $3,311.31 | Professional | UE · Used equipment | $2,041.74 | $2,454.71 | $3,311.31 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,238.72 Typical High $3,311.31 | Professional | UE · Used equipment | $2,041.74 | $2,238.72 | $3,311.31 |
Where Texas sits
The same service costs 12.6 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· 42nd of 51
$2,455
KS $8,128MT $646
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.