How much rates vary
Facilitymedian $26 · 10th to 90th $14 to $76Professionalmedian $8 · 10th to 90th $5 to $14
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 $9.33 Median $19.95 Typical High $75.86 | Facility | None | $9.33 | $19.95 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $19.05 | Professional | None | $8.32 | $8.71 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS Setting Facility Modifier None Typical Low $21.38 Median $53.70 Typical High $95.50 | Facility | None | $21.38 | $53.70 | $95.50 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $10.23 | Professional | None | $5.01 | $7.59 | $10.23 |
Christus Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $57.54 | Facility | None | $13.80 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $22.91 | Professional | None | $7.94 | $10.00 | $22.91 |
Health Smart Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Health Smart Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | None | $20.89 | $20.89 | $21.38 |
Lucent Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Moda Health Setting Facility Modifier None Typical Low $10.47 Median $15.49 Typical High $64.57 | Facility | None | $10.47 | $15.49 | $64.57 |
Moda Health Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $19.05 | Professional | None | $8.32 | $8.71 | $19.05 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | None | $10.47 | $11.75 | $11.75 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $20.42 Typical High $57.54 | Facility | None | $11.22 | $20.42 | $57.54 |
Providence Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $20.89 | Professional | None | $7.94 | $10.00 | $20.89 |
United Setting Facility Modifier None Typical Low $5.01 Median $13.80 Typical High $30.20 | Facility | None | $5.01 | $13.80 | $30.20 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $11.22 | Professional | None | $5.89 | $7.94 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | None | $6.92 | $6.92 | $7.24 |
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 $4.68 Median $10.00 Typical High $37.15 | Facility | 52 · Reduced service | $4.68 | $10.00 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $3.98 Typical High $15.14 | Facility | 53 · Discontinued | $1.86 | $3.98 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.57 Typical High $8.32 | Professional | 52 · Reduced service | $4.17 | $4.57 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.82 Typical High $3.31 | Professional | 53 · Discontinued | $1.66 | $1.82 | $3.31 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.25 Median $10.00 Typical High $37.15 | Facility | 52 · Reduced service | $5.25 | $10.00 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $3.98 Typical High $15.14 | Facility | 53 · Discontinued | $2.09 | $3.98 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.27 Typical High $6.76 | Professional | 52 · Reduced service | $4.17 | $4.27 | $6.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.74 Typical High $2.69 | Professional | 53 · Discontinued | $1.66 | $1.74 | $2.69 |
Where Texas sits
The same service costs 3.4 times more in Kansas 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· 26th of 51
$14.45
KS $35.48MD $10.47
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.