How much rates vary
Facilitymedian $72 · 10th to 90th $39 to $219Professionalmedian $22 · 10th to 90th $5 to $41
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 $23.99 Median $46.77 Typical High $194.98 | Facility | None | $23.99 | $46.77 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $52.48 | Professional | None | $22.91 | $25.70 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $26.92 | Professional | None | $19.50 | $20.42 | $26.92 |
BCBS Texas Setting Facility Modifier None Typical Low $42.66 Median $128.82 Typical High $257.04 | Facility | None | $42.66 | $128.82 | $257.04 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $21.38 Typical High $38.90 | Professional | None | $5.01 | $21.38 | $38.90 |
Christus Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $83.18 Typical High $158.49 | Facility | None | $38.90 | $83.18 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $64.57 | Professional | None | $21.88 | $28.18 | $64.57 |
Health Smart Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Health Smart Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $58.88 | Professional | None | $34.67 | $36.31 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $64.57 | Professional | None | $34.67 | $36.31 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $29.51 Median $91.20 Typical High $323.59 | Facility | None | $29.51 | $91.20 | $323.59 |
Moda Health Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $38.90 | Professional | None | $22.91 | $30.20 | $38.90 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | None | $28.84 | $32.36 | $32.36 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $57.54 Typical High $158.49 | Facility | None | $30.90 | $57.54 | $158.49 |
Providence Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $57.54 | Professional | None | $21.88 | $28.18 | $57.54 |
United Setting Facility Modifier None Typical Low $13.80 Median $38.90 Typical High $104.71 | Facility | None | $13.80 | $38.90 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $31.62 | Professional | None | $16.22 | $21.88 | $31.62 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | None | $19.05 | $19.05 | $19.95 |
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 $12.88 Median $27.54 Typical High $104.71 | Facility | 52 · Reduced service | $12.88 | $27.54 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $11.22 Typical High $41.69 | Facility | 53 · Discontinued | $5.13 | $11.22 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.88 Typical High $22.91 | Professional | 52 · Reduced service | $11.48 | $12.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | 53 · Discontinued | $4.68 | $5.13 | $9.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $27.54 Typical High $104.71 | Facility | 52 · Reduced service | $14.45 | $27.54 | $104.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $11.22 Typical High $41.69 | Facility | 53 · Discontinued | $5.89 | $11.22 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.02 Typical High $18.62 | Professional | 52 · Reduced service | $11.48 | $12.02 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $7.41 | Professional | 53 · Discontinued | $4.68 | $4.79 | $7.41 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $33.88 Median $38.90 Typical High $46.77 | Professional | 90 · Outside lab | $33.88 | $38.90 | $46.77 |
Where Texas sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 13th of 51
$52.48
AK $87.10AL $18.62
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.