How much rates vary
Facilitymedian $135 · 10th to 90th $33 to $282Professionalmedian $135 · 10th to 90th $98 to $2,042
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 $120.23 Median $123.03 Typical High $128.82 | Facility | None | $120.23 | $123.03 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $123.03 | $128.82 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $141.25 | $141.25 | $281.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $131.83 | $131.83 | $213.80 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $97.72 | $97.72 | $134.90 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $1,412.54 | $2,041.74 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $32.36 Median $114.82 Typical High $281.84 | Facility | None | $32.36 | $114.82 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $123.03 | $128.82 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $81.28 Typical High $208.93 | Professional | None (both parts) | $30.20 | $81.28 | $208.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $281.84 | Facility | None | $117.49 | $134.90 | $281.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $97.72 | $97.72 | $134.90 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Facility | None | $281.84 | $281.84 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $93.33 | $134.90 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 |
|---|---|---|---|---|---|
Christus Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Where Texas sits
The same service costs 2.3 times more in Kansas 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· 45th of 51
$135
KS $282DE $120
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.