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 $4,365.16 Median $4,677.35 Typical High $7,079.46 | Facility | None | $4,365.16 | $4,677.35 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $5,248.07 Typical High $7,079.46 | Professional | None | $4,365.16 | $5,248.07 | $7,079.46 |
BCBS Texas Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Christus Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
Christus Setting Facility Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $851.14 | Facility | RR · Rental | $338.84 | $338.84 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,585.78 | Facility | None | $6,456.54 | $6,456.54 | $7,585.78 |
Cigna Setting Facility Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $758.58 | Facility | RR · Rental | $645.65 | $645.65 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,456.54 | Professional | None | $5,495.41 | $6,456.54 | $6,456.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $549.54 | $645.65 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $4,265.80 Typical High $7,079.46 | Facility | None | $851.14 | $4,265.80 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $4,365.16 Median $5,248.07 Typical High $7,079.46 | Professional | None | $4,365.16 | $5,248.07 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $616.60 Typical High $6,165.95 | Professional | None | $81.28 | $616.60 | $6,165.95 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $6,309.57 Typical High $7,079.46 | Facility | None | $851.14 | $6,309.57 | $7,079.46 |
Providence Setting Facility Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $758.58 | Facility | RR · Rental | $645.65 | $645.65 | $758.58 |
Providence Setting Professional Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $6,456.54 | Professional | None | $5,495.41 | $6,456.54 | $6,456.54 |
Providence Setting Professional Modifier RR · Rental Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $549.54 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,187.76 | $2,818.38 | $3,981.07 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $354.81 Typical High $537.03 | Professional | RR · Rental | $218.78 | $354.81 | $537.03 |
Wellpoint Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $7,244.36 | Professional | None | $4,570.88 | $4,570.88 | $7,244.36 |
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 $3,311.31 Median $3,981.07 Typical High $5,248.07 | Professional | UE · Used equipment | $3,311.31 | $3,981.07 | $5,248.07 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | UE · Used equipment | $5,128.61 | $5,128.61 | $5,128.61 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $3,311.31 Median $3,890.45 Typical High $5,248.07 | Professional | UE · Used equipment | $3,311.31 | $3,890.45 | $5,248.07 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | UE · Used equipment | $5,128.61 | $5,128.61 | $5,128.61 |
Where Texas sits
The same service costs 9.3 times more in North Dakota 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· 23rd of 51
$5,495
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.