How much rates vary
Facilitymedian $54 · 10th to 90th $13 to $123Professionalmedian $10 · 10th to 90th $7 to $17
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 $11.48 Median $25.12 Typical High $93.33 | Facility | None | $11.48 | $25.12 | $93.33 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $5.75 Median $12.30 Typical High $46.77 | Facility | 52 · Reduced service | $5.75 | $12.30 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $5.01 Typical High $18.62 | Facility | 53 · Discontinued | $2.29 | $5.01 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $10.96 Typical High $20.89 | Professional | None (both parts) | $10.47 | $10.96 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.50 Typical High $10.47 | Professional | 52 · Reduced service | $5.13 | $5.50 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.19 Typical High $4.17 | Professional | 53 · Discontinued | $2.04 | $2.19 | $4.17 |
BCBS Texas Setting Facility Modifier None Typical Low $30.90 Median $75.86 Typical High $131.83 | Facility | None | $30.90 | $75.86 | $131.83 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $14.79 | $17.38 | $17.38 |
Christus Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $35.48 Typical High $53.70 | Facility | None | $11.75 | $35.48 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.12 Median $20.89 Typical High $26.30 | Professional | None (both parts) | $9.12 | $20.89 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $32.36 | Facility | None | $10.72 | $17.38 | $32.36 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $12.30 Typical High $46.77 | Facility | 52 · Reduced service | $6.46 | $12.30 | $46.77 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $5.01 Typical High $18.62 | Facility | 53 · Discontinued | $2.63 | $5.01 | $18.62 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $10.47 Median $10.96 Typical High $17.38 | Professional | None (both parts) | $10.47 | $10.96 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.37 Typical High $8.13 | Professional | 52 · Reduced service | $5.13 | $5.37 | $8.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.14 Typical High $3.24 | Professional | 53 · Discontinued | $2.09 | $2.14 | $3.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | None (both parts) | $12.02 | $12.02 | $12.88 |
Providence Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $53.70 | Facility | None | $10.72 | $17.38 | $53.70 |
Providence Setting Professional Modifier None (both parts) Typical Low $9.12 Median $17.38 Typical High $18.20 | Professional | None (both parts) | $9.12 | $17.38 | $18.20 |
United Setting Facility Modifier None Typical Low $6.17 Median $7.24 Typical High $17.38 | Facility | None | $6.17 | $7.24 | $17.38 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $7.24 Typical High $10.47 | Professional | None (both parts) | $7.24 | $7.24 | $10.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | None (both parts) | $8.91 | $11.22 | $11.22 |
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 26 · Professional part Typical Low $10.47 Median $10.72 Typical High $13.18 | Professional | 26 · Professional part | $10.47 | $10.72 | $13.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.72 Typical High $13.18 | Professional | 26 · Professional part | $10.47 | $10.72 | $13.18 |
Where Texas sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 2nd of 51
$29.51
AK $34.67NM $10.47
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.