How much rates vary
Facilitymedian $12 · 10th to 90th $4 to $30Professionalmedian $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 $2.95 Median $5.89 Typical High $24.55 | Facility | None | $2.95 | $5.89 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.95 Typical High $5.75 | Professional | None | $2.69 | $2.95 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
BCBS Texas Setting Facility Modifier None Typical Low $6.03 Median $16.22 Typical High $30.20 | Facility | None | $6.03 | $16.22 | $30.20 |
BCBS Texas Setting Professional Modifier None Typical Low $2.51 Median $4.47 Typical High $5.50 | Professional | None | $2.51 | $4.47 | $5.50 |
Christus Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $9.77 Typical High $19.05 | Facility | None | $4.57 | $9.77 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.31 Typical High $7.59 | Professional | None | $2.57 | $3.31 | $7.59 |
Health Smart Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Health Smart Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | None | $6.76 | $6.76 | $6.92 |
Lucent Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Moda Health Setting Facility Modifier None Typical Low $3.47 Median $6.76 Typical High $61.66 | Facility | None | $3.47 | $6.76 | $61.66 |
Moda Health Setting Professional Modifier None Typical Low $2.69 Median $3.02 Typical High $5.62 | Professional | None | $2.69 | $3.02 | $5.62 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | None | $3.39 | $3.80 | $3.80 |
Providence Setting Facility Modifier None Typical Low $3.72 Median $6.61 Typical High $19.05 | Facility | None | $3.72 | $6.61 | $19.05 |
Providence Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $6.76 | Professional | None | $2.57 | $3.24 | $6.76 |
United Setting Facility Modifier None Typical Low $1.62 Median $4.47 Typical High $10.47 | Facility | None | $1.62 | $4.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $3.72 | Professional | None | $1.91 | $2.57 | $3.72 |
Wellpoint Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.34 | Professional | None | $2.24 | $2.24 | $2.34 |
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 $1.51 Median $3.24 Typical High $12.30 | Facility | 52 · Reduced service | $1.51 | $3.24 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.62 Median $1.29 Typical High $4.90 | Facility | 53 · Discontinued | $0.62 | $1.29 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.48 Typical High $2.69 | Professional | 52 · Reduced service | $1.35 | $1.48 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.60 Typical High $1.07 | Professional | 53 · Discontinued | $0.54 | $0.60 | $1.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.70 Median $3.24 Typical High $12.30 | Facility | 52 · Reduced service | $1.70 | $3.24 | $12.30 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.29 Typical High $4.90 | Facility | 53 · Discontinued | $0.68 | $1.29 | $4.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.41 Typical High $2.19 | Professional | 52 · Reduced service | $1.35 | $1.41 | $2.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.56 Typical High $0.87 | Professional | 53 · Discontinued | $0.54 | $0.56 | $0.87 |
Where Texas sits
The same service costs 3.0 times more in Alaska 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· 15th of 51
$5.50
AK $10.23MD $3.39
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.