How much rates vary
Facilitymedian $68 · 10th to 90th $26 to $155Professionalmedian $15 · 10th to 90th $5 to $23
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 $17.38 Median $37.15 Typical High $138.04 | Facility | None | $17.38 | $37.15 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $35.48 | Professional | None | $15.49 | $16.98 | $35.48 |
BCBS Texas Setting Facility Modifier None Typical Low $38.90 Median $95.50 Typical High $181.97 | Facility | None | $38.90 | $95.50 | $181.97 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $14.13 Typical High $16.22 | Professional | None | $5.01 | $14.13 | $16.22 |
Christus Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $107.15 | Facility | None | $25.70 | $56.23 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $42.66 | Professional | None | $14.45 | $18.62 | $42.66 |
Health Smart Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Health Smart Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | None | $38.90 | $38.90 | $39.81 |
Lucent Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Moda Health Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $56.23 | Facility | None | $19.50 | $25.70 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $31.62 | Professional | None | $15.49 | $16.98 | $31.62 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | None | $19.50 | $21.88 | $21.88 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $38.02 Typical High $107.15 | Facility | None | $20.42 | $38.02 | $107.15 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $38.90 | Professional | None | $14.45 | $18.62 | $38.90 |
United Setting Facility Modifier None Typical Low $9.33 Median $25.70 Typical High $75.86 | Facility | None | $9.33 | $25.70 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $20.89 | Professional | None | $10.96 | $14.79 | $20.89 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | None | $12.88 | $12.88 | $13.49 |
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 $8.71 Median $18.62 Typical High $69.18 | Facility | 52 · Reduced service | $8.71 | $18.62 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $7.41 Typical High $28.18 | Facility | 53 · Discontinued | $3.47 | $7.41 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $8.51 Typical High $15.49 | Professional | 52 · Reduced service | $7.76 | $8.51 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $6.17 | Professional | 53 · Discontinued | $3.09 | $3.39 | $6.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.77 Median $18.62 Typical High $69.18 | Facility | 52 · Reduced service | $9.77 | $18.62 | $69.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $7.41 Typical High $28.18 | Facility | 53 · Discontinued | $3.89 | $7.41 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.94 Typical High $12.59 | Professional | 52 · Reduced service | $7.76 | $7.94 | $12.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.24 Typical High $5.01 | Professional | 53 · Discontinued | $3.09 | $3.24 | $5.01 |
Where Texas sits
The same service costs 4.0 times more in Kansas 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· 28th of 51
$25.70
KS $74.13AL $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.