How much rates vary
Facilitymedian $76 · 10th to 90th $29 to $174Professionalmedian $17 · 10th to 90th $5 to $26
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 $19.50 Median $41.69 Typical High $154.88 | Facility | None | $19.50 | $41.69 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $34.67 | Professional | None | $17.38 | $19.05 | $34.67 |
BCBS Texas Setting Facility Modifier None Typical Low $43.65 Median $107.15 Typical High $204.17 | Facility | None | $43.65 | $107.15 | $204.17 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $15.85 Typical High $18.20 | Professional | None | $5.01 | $15.85 | $18.20 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $63.10 Typical High $120.23 | Facility | None | $28.84 | $63.10 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $47.86 | Professional | None | $16.22 | $20.89 | $47.86 |
Health Smart Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Health Smart Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $30.20 Typical High $64.57 | Facility | None | $21.88 | $30.20 | $64.57 |
Moda Health Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $34.67 | Professional | None | $17.38 | $19.05 | $34.67 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | None | $21.38 | $23.99 | $23.99 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $42.66 Typical High $120.23 | Facility | None | $22.91 | $42.66 | $120.23 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $43.65 | Professional | None | $16.22 | $20.89 | $43.65 |
United Setting Facility Modifier None Typical Low $10.47 Median $12.02 Typical High $28.84 | Facility | None | $10.47 | $12.02 | $28.84 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $23.44 | Professional | None | $12.02 | $16.60 | $23.44 |
Wellpoint Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | None | $14.13 | $14.13 | $14.79 |
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 $9.55 Median $20.89 Typical High $77.62 | Facility | 52 · Reduced service | $9.55 | $20.89 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $8.32 Typical High $30.90 | Facility | 53 · Discontinued | $3.89 | $8.32 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $9.55 Typical High $17.38 | Professional | 52 · Reduced service | $8.71 | $9.55 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.80 Typical High $6.92 | Professional | 53 · Discontinued | $3.47 | $3.80 | $6.92 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $20.89 Typical High $77.62 | Facility | 52 · Reduced service | $10.96 | $20.89 | $77.62 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $8.32 Typical High $30.90 | Facility | 53 · Discontinued | $4.37 | $8.32 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.91 Typical High $14.13 | Professional | 52 · Reduced service | $8.71 | $8.91 | $14.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $5.62 | Professional | 53 · Discontinued | $3.47 | $3.55 | $5.62 |
Where Texas sits
The same service costs 5.5 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· 24th of 51
$28.84
KS $102AL $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.