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 $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $1,202.26 | Professional | None | $660.69 | $676.08 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,513.56 | Professional | None | $707.95 | $707.95 | $1,513.56 |
BCBS Texas Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,288.25 | Professional | None | $707.95 | $707.95 | $1,288.25 |
Christus Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $9,772.37 Typical High $9,772.37 | Professional | None | $7,413.10 | $9,772.37 | $9,772.37 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $1,513.56 | Facility | None | $407.38 | $831.76 | $1,513.56 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $1,202.26 | Professional | None | $660.69 | $676.08 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $851.14 Typical High $851.14 | Professional | None | $81.28 | $851.14 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $1,513.56 | Facility | None | $630.96 | $912.01 | $1,513.56 |
Providence Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,737.80 | Facility | None | $1,445.44 | $1,445.44 | $1,737.80 |
United Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $912.01 | Professional | None | $489.78 | $724.44 | $912.01 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | KX · Policy requirements met | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Providence Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Where Texas sits
The same service costs 2.5 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· 39th of 51
$776
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.