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 $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | None | $13,489.63 | $13,489.63 | $13,489.63 |
BCBS Texas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $9,772.37 Median $11,748.98 Typical High $11,748.98 | Professional | None | $9,772.37 | $11,748.98 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $19,498.45 | Facility | None | $13,489.63 | $13,489.63 | $19,498.45 |
Moda Health Setting Professional Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | None | $13,489.63 | $13,489.63 | $13,489.63 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,096.48 Typical High $10,964.78 | Professional | None | $81.28 | $1,096.48 | $10,964.78 |
Providence Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $13,489.63 | Facility | None | $11,748.98 | $11,748.98 | $13,489.63 |
Providence Setting Professional Modifier None Typical Low $9,772.37 Median $11,748.98 Typical High $11,748.98 | Professional | None | $9,772.37 | $11,748.98 | $11,748.98 |
Wellpoint Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,413.10 | Professional | None | $6,606.93 | $6,606.93 | $7,413.10 |
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 $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | UE · Used equipment | $10,232.93 | $10,232.93 | $10,232.93 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | UE · Used equipment | $10,232.93 | $10,232.93 | $10,232.93 |
Where Texas sits
The same service costs 182.0 times more in South 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· 28th of 51
$9,772
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.