How much rates vary
Facilitymedian $8 · 10th to 90th $4 to $23Professionalmedian $3 · 10th to 90th $2 to $5
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 $2.51 Median $5.25 Typical High $21.88 | Facility | None | $2.51 | $5.25 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $5.50 | Professional | None | $2.40 | $2.63 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $1.70 Median $2.00 Typical High $2.51 | Professional | None | $1.70 | $2.00 | $2.51 |
BCBS Texas Setting Facility Modifier None Typical Low $5.62 Median $14.45 Typical High $27.54 | Facility | None | $5.62 | $14.45 | $27.54 |
BCBS Texas Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $5.50 | Professional | None | $2.63 | $5.01 | $5.50 |
Baylor Scott & White Setting Professional Modifier None Typical Low $2.82 Median $3.63 Typical High $5.62 | Professional | None | $2.82 | $3.63 | $5.62 |
Christus Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $8.32 Typical High $13.18 | Facility | None | $3.39 | $8.32 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $3.47 Typical High $6.92 | Professional | None | $2.04 | $3.47 | $6.92 |
Health Smart Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Health Smart Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.90 | Professional | None | $4.37 | $4.37 | $4.90 |
Lucent Health Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Moda Health Setting Facility Modifier None Typical Low $3.02 Median $4.79 Typical High $50.12 | Facility | None | $3.02 | $4.79 | $50.12 |
Moda Health Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $5.01 | Professional | None | $2.40 | $3.09 | $5.01 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $3.39 | Professional | None | $3.02 | $3.39 | $3.39 |
Providence Setting Facility Modifier None Typical Low $3.02 Median $4.90 Typical High $13.18 | Facility | None | $3.02 | $4.90 | $13.18 |
Providence Setting Professional Modifier None Typical Low $2.04 Median $3.47 Typical High $6.92 | Professional | None | $2.04 | $3.47 | $6.92 |
United Setting Facility Modifier None Typical Low $1.45 Median $3.98 Typical High $8.91 | Facility | None | $1.45 | $3.98 | $8.91 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.57 Typical High $3.98 | Professional | None | $2.40 | $2.57 | $3.98 |
Wellpoint Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $2.09 | Professional | None | $1.62 | $1.62 | $2.09 |
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 $1.35 Median $2.88 Typical High $10.96 | Facility | 52 · Reduced service | $1.35 | $2.88 | $10.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.54 Median $1.15 Typical High $4.37 | Facility | 53 · Discontinued | $0.54 | $1.15 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.32 Typical High $2.40 | Professional | 52 · Reduced service | $1.20 | $1.32 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.52 Typical High $0.95 | Professional | 53 · Discontinued | $0.48 | $0.52 | $0.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.51 Median $2.88 Typical High $10.96 | Facility | 52 · Reduced service | $1.51 | $2.88 | $10.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.62 Median $1.15 Typical High $4.37 | Facility | 53 · Discontinued | $0.62 | $1.15 | $4.37 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.26 Typical High $1.95 | Professional | 52 · Reduced service | $1.20 | $1.26 | $1.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.50 Typical High $0.78 | Professional | 53 · Discontinued | $0.48 | $0.50 | $0.78 |
Where Texas sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 23rd of 51
$4.17
AK $9.12NC $3.24
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.