How much rates vary
Facilitymedian $16 · 10th to 90th $8 to $49Professionalmedian $5 · 10th to 90th $3 to $7
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 $5.25 Median $11.22 Typical High $41.69 | Facility | None | $5.25 | $11.22 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $9.33 | Professional | None | $4.68 | $5.13 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $9.33 | Professional | None | $4.79 | $4.79 | $9.33 |
BCBS Texas Setting Facility Modifier None Typical Low $10.47 Median $27.54 Typical High $52.48 | Facility | None | $10.47 | $27.54 | $52.48 |
BCBS Texas Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $5.62 | Professional | None | $4.27 | $5.01 | $5.62 |
Baylor Scott & White Setting Facility Modifier None Typical Low $7.41 Median $11.22 Typical High $33.88 | Facility | None | $7.41 | $11.22 | $33.88 |
Christus Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $15.85 Typical High $24.55 | Facility | None | $6.03 | $15.85 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.07 Typical High $11.48 | Professional | None | $3.31 | $4.07 | $11.48 |
Health Smart Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Health Smart Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | None | $7.76 | $7.76 | $7.94 |
Lucent Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Moda Health Setting Facility Modifier None Typical Low $6.17 Median $22.91 Typical High $61.66 | Facility | None | $6.17 | $22.91 | $61.66 |
Moda Health Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $7.76 | Professional | None | $4.68 | $5.13 | $7.76 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $6.61 Typical High $6.61 | Professional | None | $5.89 | $6.61 | $6.61 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $9.33 Typical High $24.55 | Facility | None | $5.50 | $9.33 | $24.55 |
Providence Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $9.77 | Professional | None | $3.24 | $4.07 | $9.77 |
United Setting Facility Modifier None Typical Low $2.82 Median $3.24 Typical High $7.76 | Facility | None | $2.82 | $3.24 | $7.76 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $7.24 | Professional | None | $2.95 | $3.24 | $7.24 |
Wellpoint Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
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 $2.63 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $2.63 | $5.62 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.05 Median $2.24 Typical High $8.51 | Facility | 53 · Discontinued | $1.05 | $2.24 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.45 Typical High $4.68 | Professional | 52 · Reduced service | $2.34 | $2.45 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.98 Typical High $1.86 | Professional | 53 · Discontinued | $0.93 | $0.98 | $1.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $2.95 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $2.95 | $5.62 | $20.89 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $2.24 Typical High $8.51 | Facility | 53 · Discontinued | $1.17 | $2.24 | $8.51 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.40 Typical High $3.80 | Professional | 52 · Reduced service | $2.34 | $2.40 | $3.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.95 Typical High $1.51 | Professional | 53 · Discontinued | $0.93 | $0.95 | $1.51 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 22nd of 51
$7.59
AK $17.38KY $4.68
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.