How much rates vary
Facilitymedian $13 · 10th to 90th $2 to $23Professionalmedian $12 · 10th to 90th $7 to $32
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 $0.02 Median $0.06 Typical High $0.08 | Facility | None | $0.02 | $0.06 | $0.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $117.49 | Professional | None (both parts) | $5.01 | $5.01 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $4.17 Median $9.77 Typical High $20.89 | Professional | None (both parts) | $4.17 | $9.77 | $20.89 |
BCBS Texas Setting Facility Modifier None Typical Low $4.68 Median $13.80 Typical High $30.90 | Facility | None | $4.68 | $13.80 | $30.90 |
Christus Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.91 Typical High $2.24 | Facility | None | $1.86 | $1.91 | $2.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $28.84 Typical High $42.66 | Professional | None (both parts) | $12.30 | $28.84 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $39.81 | Professional | None (both parts) | $20.42 | $22.91 | $39.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $38.90 | Professional | None (both parts) | $20.42 | $22.91 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $125.89 | Facility | None | $17.38 | $22.91 | $125.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $22.91 | Professional | None (both parts) | $5.01 | $5.01 | $22.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.41 Median $14.13 Typical High $30.20 | Professional | None (both parts) | $7.41 | $14.13 | $30.20 |
Providence Setting Facility Modifier None Typical Low $1.86 Median $18.20 Typical High $128.82 | Facility | None | $1.86 | $18.20 | $128.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.30 Median $19.50 Typical High $43.65 | Professional | None (both parts) | $12.30 | $19.50 | $43.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
United Setting Professional Modifier None (both parts) Typical Low $10.23 Median $11.75 Typical High $31.62 | Professional | None (both parts) | $10.23 | $11.75 | $31.62 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $6.76 Median $6.76 Typical High $9.12 | Professional | None (both parts) | $6.76 | $6.76 | $9.12 |
3 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 $0.03 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.03 | $0.03 | $0.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.48 Typical High $13.49 | Professional | TC · Technical part | $9.55 | $11.48 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.22 Typical High $38.02 | Professional | TC · Technical part | $9.55 | $11.22 | $38.02 |
Where Texas sits
The same service costs 14.8 times more in Alaska than in Georgia. 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· 43rd of 51
$13.49
AK $100GA $6.76
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.