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 $6,165.95 Median $6,606.93 Typical High $10,000.00 | Facility | None | $6,165.95 | $6,606.93 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $10,000.00 | Professional | None | $6,165.95 | $7,413.10 | $10,000.00 |
BCBS Texas Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Christus Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Christus Setting Facility Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $1,288.25 | Facility | RR · Rental | $512.86 | $512.86 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,265.80 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier RR · Rental Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | RR · Rental | $524.81 | $524.81 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $8,912.51 | Facility | None | $4,570.88 | $7,079.46 | $8,912.51 |
Moda Health Setting Professional Modifier None Typical Low $6,025.60 Median $7,244.36 Typical High $10,000.00 | Professional | None | $6,025.60 | $7,244.36 | $10,000.00 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $691.83 Typical High $6,918.31 | Professional | None | $81.28 | $691.83 | $6,918.31 |
Providence Setting Facility Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,786.30 | $5,011.87 | $8,709.64 |
Providence Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,265.80 | $5,011.87 | $5,011.87 |
Providence Setting Professional Modifier RR · Rental Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | RR · Rental | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,311.31 | $4,466.84 |
United Setting Professional Modifier RR · Rental Typical Low $245.47 Median $446.68 Typical High $616.60 | Professional | RR · Rental | $245.47 | $446.68 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,128.31 | Professional | None | $6,309.57 | $6,309.57 | $8,128.31 |
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 $4,677.35 Median $5,495.41 Typical High $7,413.10 | Professional | UE · Used equipment | $4,677.35 | $5,495.41 | $7,413.10 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $4,677.35 Median $5,370.32 Typical High $7,413.10 | Professional | UE · Used equipment | $4,677.35 | $5,370.32 | $7,413.10 |
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· 49th of 51
$4,266
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.