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 $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $933.25 | Professional | None | $537.03 | $562.34 | $933.25 |
Ambetter Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,230.27 | Professional | None | $616.60 | $1,230.27 | $1,230.27 |
BCBS Texas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $724.44 | Professional | None | $575.44 | $575.44 | $724.44 |
Christus Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Lucent Health Setting Professional Modifier None Typical Low $6,165.95 Median $8,912.51 Typical High $8,912.51 | Professional | None | $6,165.95 | $8,912.51 | $8,912.51 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $1,230.27 | Facility | None | $346.74 | $676.08 | $1,230.27 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $977.24 | Professional | None | $537.03 | $562.34 | $977.24 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $602.56 Typical High $602.56 | Professional | None | $81.28 | $602.56 | $602.56 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,230.27 | Facility | None | $512.86 | $741.31 | $1,230.27 |
Providence Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,445.44 | Facility | None | $1,230.27 | $1,230.27 | $1,445.44 |
United Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $758.58 | Professional | None | $407.38 | $588.84 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | KX · Policy requirements met | $616.60 | $616.60 | $616.60 |
Where Texas sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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
$603
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.