How much rates vary
Facilitymedian $3,388 · 10th to 90th $871 to $6,918Professionalmedian $3,236 · 10th to 90th $550 to $5,495
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 $5,011.87 Median $5,370.32 Typical High $7,943.28 | Facility | None | $5,011.87 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,888.44 Typical High $7,943.28 | Professional | None | $5,011.87 | $5,888.44 | $7,943.28 |
BCBS Texas Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,884.03 | Facility | None | $831.76 | $1,318.26 | $2,884.03 |
BCBS Texas 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 $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
Christus Setting Facility Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $1,047.13 | Facility | RR · Rental | $416.87 | $416.87 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | RR · Rental | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $3,890.45 Typical High $4,365.16 | Professional | None | $3,715.35 | $3,890.45 | $4,365.16 |
Cigna Setting Professional Modifier RR · Rental Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $371.54 | $436.52 | $436.52 |
Health Smart Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
Health Smart Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Moda Health Setting Facility Modifier None Typical Low $3,715.35 Median $5,754.40 Typical High $7,244.36 | Facility | None | $3,715.35 | $5,754.40 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $7,943.28 | Professional | None | $4,786.30 | $5,754.40 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $549.54 Typical High $5,495.41 | Professional | None | $81.28 | $549.54 | $5,495.41 |
Providence Setting Facility Modifier None Typical Low $3,388.44 Median $4,365.16 Typical High $6,918.31 | Facility | None | $3,388.44 | $4,365.16 | $6,918.31 |
Providence Setting Facility Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | RR · Rental | $436.52 | $436.52 | $436.52 |
Providence Setting Professional Modifier None Typical Low $3,715.35 Median $3,890.45 Typical High $4,365.16 | Professional | None | $3,715.35 | $3,890.45 | $4,365.16 |
Providence Setting Professional Modifier RR · Rental Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $371.54 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,691.53 | $3,630.78 |
United Setting Professional Modifier RR · Rental Typical Low $194.98 Median $363.08 Typical High $489.78 | Professional | RR · Rental | $194.98 | $363.08 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,606.93 | Professional | None | $5,011.87 | $5,011.87 | $6,606.93 |
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 $3,801.89 Median $4,365.16 Typical High $6,025.60 | Professional | UE · Used equipment | $3,801.89 | $4,365.16 | $6,025.60 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $3,548.13 Median $4,265.80 Typical High $6,025.60 | Professional | UE · Used equipment | $3,548.13 | $4,265.80 | $6,025.60 |
Where Texas sits
The same service costs 11.2 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· 47th of 51
$3,311
ND $11,749MT $1,047
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.