How much rates vary
Facilitymedian $21 · 10th to 90th $9 to $219Professionalmedian $5 · 10th to 90th $5 to $9
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 $5.50 Median $10.47 Typical High $44.67 | Facility | None | $5.50 | $10.47 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $11.75 | Professional | None | $5.25 | $6.03 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $8.71 | Professional | None | $3.02 | $4.37 | $8.71 |
BCBS Texas Setting Facility Modifier None Typical Low $11.75 Median $30.90 Typical High $58.88 | Facility | None | $11.75 | $30.90 | $58.88 |
BCBS Texas Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $5.50 | Professional | None | $4.79 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $7.94 Median $11.75 Typical High $81.28 | Facility | None | $7.94 | $11.75 | $81.28 |
Christus Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.05 Typical High $36.31 | Facility | None | $8.71 | $19.05 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $15.49 | Professional | None | $5.01 | $8.13 | $15.49 |
Health Smart Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Health Smart Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $13.49 | Professional | None | $7.76 | $8.32 | $13.49 |
Lucent Health Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $14.45 | Professional | None | $7.76 | $8.32 | $14.45 |
Moda Health Setting Facility Modifier None Typical Low $7.76 Median $117.49 Typical High $407.38 | Facility | None | $7.76 | $117.49 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $5.25 Median $6.92 Typical High $12.88 | Professional | None | $5.25 | $6.92 | $12.88 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $7.24 | Professional | None | $6.46 | $7.24 | $7.24 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $12.59 Typical High $36.31 | Facility | None | $6.92 | $12.59 | $36.31 |
Providence Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $15.14 | Professional | None | $5.01 | $7.24 | $15.14 |
United Setting Facility Modifier None Typical Low $3.09 Median $3.63 Typical High $8.71 | Facility | None | $3.09 | $3.63 | $8.71 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $7.08 | Professional | None | $3.63 | $5.01 | $7.08 |
Wellpoint Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
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 $2.88 Median $6.31 Typical High $23.44 | Facility | 52 · Reduced service | $2.88 | $6.31 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.15 Median $2.51 Typical High $9.33 | Facility | 53 · Discontinued | $1.15 | $2.51 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.88 Typical High $5.25 | Professional | 52 · Reduced service | $2.63 | $2.88 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.15 Typical High $2.09 | Professional | 53 · Discontinued | $1.05 | $1.15 | $2.09 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.31 Median $6.31 Typical High $23.44 | Facility | 52 · Reduced service | $3.31 | $6.31 | $23.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $2.51 Typical High $9.33 | Facility | 53 · Discontinued | $1.32 | $2.51 | $9.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.69 Typical High $4.17 | Professional | 52 · Reduced service | $2.63 | $2.69 | $4.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.07 Typical High $1.70 | Professional | 53 · Discontinued | $1.05 | $1.07 | $1.70 |
Where Texas sits
The same service costs 10.5 times more in Vermont than in Maryland. 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· 34th of 51
$8.51
VT $67.61MD $6.46
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.