How much rates vary
Facilitymedian $49 · 10th to 90th $17 to $115Professionalmedian $10 · 10th to 90th $5 to $19
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 $12.59 Median $26.92 Typical High $100.00 | Facility | None | $12.59 | $26.92 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $22.39 | Professional | None | $11.22 | $12.30 | $22.39 |
BCBS Texas Setting Facility Modifier None Typical Low $25.70 Median $66.07 Typical High $125.89 | Facility | None | $25.70 | $66.07 | $125.89 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.23 Typical High $13.49 | Professional | None | $5.01 | $10.23 | $13.49 |
Christus Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $40.74 Typical High $57.54 | Facility | None | $12.30 | $40.74 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $32.36 | Professional | None | $8.32 | $13.49 | $32.36 |
Moda Health Setting Facility Modifier None Typical Low $13.18 Median $18.62 Typical High $56.23 | Facility | None | $13.18 | $18.62 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $18.62 | Professional | None | $11.22 | $11.75 | $18.62 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | None | $14.13 | $15.49 | $15.49 |
Providence Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $57.54 | Facility | None | $13.49 | $19.95 | $57.54 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $32.36 | Professional | None | $8.32 | $13.49 | $32.36 |
United Setting Facility Modifier None Typical Low $6.76 Median $7.76 Typical High $18.62 | Facility | None | $6.76 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $18.62 | Professional | None | $7.76 | $7.76 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $9.55 | Professional | None | $7.41 | $7.41 | $9.55 |
9 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 $6.31 Median $13.49 Typical High $50.12 | Facility | 52 · Reduced service | $6.31 | $13.49 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $5.37 Typical High $19.95 | Facility | 53 · Discontinued | $2.51 | $5.37 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | 52 · Reduced service | $5.62 | $6.17 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.45 Typical High $4.47 | Professional | 53 · Discontinued | $2.24 | $2.45 | $4.47 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 90 · Outside lab | $11.75 | $11.75 | $11.75 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.08 Median $13.49 Typical High $50.12 | Facility | 52 · Reduced service | $7.08 | $13.49 | $50.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $5.37 Typical High $19.95 | Facility | 53 · Discontinued | $2.82 | $5.37 | $19.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.75 Typical High $9.12 | Professional | 52 · Reduced service | $5.62 | $5.75 | $9.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $3.63 | Professional | 53 · Discontinued | $2.24 | $2.29 | $3.63 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 22nd of 51
$17.78
AK $41.69NE $11.22
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.