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 $549.54 Median $549.54 Typical High $575.44 | Facility | None | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $1,000.00 | Professional | None | $549.54 | $575.44 | $1,000.00 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
BCBS Texas Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $977.24 | Professional | None | $588.84 | $588.84 | $977.24 |
Christus Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $9,332.54 Typical High $9,332.54 | Professional | None | $6,309.57 | $9,332.54 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $1,258.93 | Facility | None | $354.81 | $707.95 | $1,258.93 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $1,000.00 | Professional | None | $549.54 | $575.44 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $831.76 Typical High $831.76 | Professional | None | $81.28 | $831.76 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,258.93 | Facility | None | $537.03 | $758.58 | $1,258.93 |
Providence Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Facility | None | $1,288.25 | $1,288.25 | $1,513.56 |
United Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $794.33 | Professional | None | $426.58 | $616.60 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | KX · Policy requirements met | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Providence Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Where Texas sits
The same service costs 2.2 times more in Iowa than in Delaware. 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· 38th of 51
$661
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.