How much rates vary
Facilitymedian $12 · 10th to 90th $2 to $23Professionalmedian $11 · 10th to 90th $6 to $30
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 $114.82 | Professional | None (both parts) | $5.01 | $5.01 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $4.37 Median $8.32 Typical High $17.38 | Professional | None (both parts) | $4.37 | $8.32 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $3.39 Median $10.00 Typical High $30.90 | Facility | None | $3.39 | $10.00 | $30.90 |
Christus Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
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 $24.55 Typical High $42.66 | Professional | None (both parts) | $12.30 | $24.55 | $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 $39.81 | Facility | None | $17.38 | $22.91 | $39.81 |
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 $6.17 Median $12.02 Typical High $30.20 | Professional | None (both parts) | $6.17 | $12.02 | $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 $10.47 Typical High $28.18 | Professional | None (both parts) | $10.23 | $10.47 | $28.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $7.59 | Professional | None (both parts) | $5.62 | $5.62 | $7.59 |
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 17.8 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
$11.75
AK $100GA $5.62
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.