How much rates vary
Facilitymedian $6,607 · 10th to 90th $3,981 to $7,244Professionalmedian $5,495 · 10th to 90th $575 to $6,607
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 $5,248.07 Median $5,623.41 Typical High $8,317.64 | Facility | None | $5,248.07 | $5,623.41 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $6,165.95 Typical High $8,317.64 | Professional | None | $5,248.07 | $6,165.95 | $8,317.64 |
Christus Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Christus Setting Facility Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $1,096.48 | Facility | RR · Rental | $436.52 | $436.52 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Facility Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | RR · Rental | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,495.41 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $549.54 | $660.69 | $660.69 |
Health Smart Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Health Smart Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,943.28 | $7,943.28 | $7,943.28 |
Moda Health Setting Facility Modifier None Typical Low $3,801.89 Median $6,025.60 Typical High $7,413.10 | Facility | None | $3,801.89 | $6,025.60 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $4,897.79 Median $6,025.60 Typical High $8,317.64 | Professional | None | $4,897.79 | $6,025.60 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $575.44 Typical High $5,754.40 | Professional | None | $81.28 | $575.44 | $5,754.40 |
Providence Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $7,244.36 | Facility | None | $3,981.07 | $6,606.93 | $7,244.36 |
Providence Setting Facility Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | RR · Rental | $660.69 | $660.69 | $660.69 |
Providence Setting Professional Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,495.41 | $6,606.93 | $6,606.93 |
Providence Setting Professional Modifier RR · Rental Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $549.54 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,754.23 | $3,801.89 |
United Setting Professional Modifier RR · Rental Typical Low $204.17 Median $380.19 Typical High $512.86 | Professional | RR · Rental | $204.17 | $380.19 | $512.86 |
Wellpoint Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,760.83 | Professional | None | $5,248.07 | $5,248.07 | $6,760.83 |
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 $3,890.45 Median $4,570.88 Typical High $6,165.95 | Professional | UE · Used equipment | $3,890.45 | $4,570.88 | $6,165.95 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $4,570.88 Typical High $6,165.95 | Professional | UE · Used equipment | $3,890.45 | $4,570.88 | $6,165.95 |
Where Texas sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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· 26th of 51
$5,495
ND $12,303MS $1,122
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.