How much rates vary
Facilitymedian $13 · 10th to 90th $6 to $65Professionalmedian $5 · 10th to 90th $3 to $8
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 $4.68 Median $10.00 Typical High $38.02 | Facility | None | $4.68 | $10.00 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.68 Typical High $9.55 | Professional | None | $4.17 | $4.68 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $4.27 Typical High $7.08 | Professional | None | $3.39 | $4.27 | $7.08 |
BCBS Setting Facility Modifier None Typical Low $4.57 Median $21.38 Typical High $46.77 | Facility | None | $4.57 | $21.38 | $46.77 |
BCBS Setting Professional Modifier None Typical Low $4.57 Median $5.01 Typical High $6.17 | Professional | None | $4.57 | $5.01 | $6.17 |
Baylor Scott & White Setting Facility Modifier None Typical Low $6.46 Median $9.55 Typical High $112.20 | Facility | None | $6.46 | $9.55 | $112.20 |
Christus Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.14 Typical High $29.51 | Facility | None | $7.08 | $15.14 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $12.02 | Professional | None | $4.07 | $5.50 | $12.02 |
Health Smart Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Health Smart Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | None | $9.77 | $9.77 | $10.72 |
Lucent Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Moda Health Setting Facility Modifier None Typical Low $6.03 Median $32.36 Typical High $257.04 | Facility | None | $6.03 | $32.36 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $12.59 | Professional | None | $4.17 | $5.62 | $12.59 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $5.89 | Professional | None | $5.25 | $5.89 | $5.89 |
Providence Setting Facility Modifier None Typical Low $5.62 Median $10.23 Typical High $29.51 | Facility | None | $5.62 | $10.23 | $29.51 |
Providence Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $10.47 | Professional | None | $4.07 | $5.37 | $10.47 |
United Setting Facility Modifier None Typical Low $2.51 Median $2.95 Typical High $7.08 | Facility | None | $2.51 | $2.95 | $7.08 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $5.75 | Professional | None | $2.95 | $3.98 | $5.75 |
Wellpoint Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
8 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 Facility Modifier 52 · Reduced service Typical Low $2.34 Median $5.01 Typical High $19.05 | Facility | 52 · Reduced service | $2.34 | $5.01 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $2.04 Typical High $7.59 | Facility | 53 · Discontinued | $0.93 | $2.04 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.29 Typical High $4.17 | Professional | 52 · Reduced service | $2.09 | $2.29 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.93 Typical High $1.70 | Professional | 53 · Discontinued | $0.83 | $0.93 | $1.70 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.63 Median $5.01 Typical High $19.05 | Facility | 52 · Reduced service | $2.63 | $5.01 | $19.05 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.04 Typical High $7.59 | Facility | 53 · Discontinued | $1.07 | $2.04 | $7.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.19 Typical High $3.39 | Professional | 52 · Reduced service | $2.09 | $2.19 | $3.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.87 Typical High $1.35 | Professional | 53 · Discontinued | $0.83 | $0.87 | $1.35 |
Where Texas sits
The same service costs 9.3 times more in Vermont than in New Jersey. 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· 28th of 51
$7.08
VT $45.71NJ $4.90
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.