How much rates vary
Facilitymedian $63 · 10th to 90th $23 to $141Professionalmedian $14 · 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 $16.98 Median $37.15 Typical High $138.04 | Facility | None | $16.98 | $37.15 | $138.04 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.51 Median $18.20 Typical High $69.18 | Facility | 52 · Reduced service | $8.51 | $18.20 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $7.41 Typical High $27.54 | Facility | 53 · Discontinued | $3.39 | $7.41 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $30.90 | Professional | None | $15.49 | $16.98 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $8.51 Typical High $15.49 | Professional | 52 · Reduced service | $7.59 | $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 |
BCBS Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $194.98 | Facility | None | $41.69 | $95.50 | $194.98 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $14.13 Typical High $16.60 | Professional | None | $5.01 | $14.13 | $16.60 |
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 $25.12 Median $54.95 Typical High $104.71 | Facility | None | $25.12 | $54.95 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $41.69 | Professional | None | $14.13 | $18.20 | $41.69 |
Health Smart Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Health Smart Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Moda Health Setting Facility Modifier None Typical Low $19.50 Median $26.92 Typical High $56.23 | Facility | None | $19.50 | $26.92 | $56.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $18.20 Typical High $69.18 | Facility | 52 · Reduced service | $9.55 | $18.20 | $69.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $7.41 Typical High $27.54 | Facility | 53 · Discontinued | $3.89 | $7.41 | $27.54 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $30.90 | Professional | None | $15.49 | $16.98 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.94 Typical High $12.30 | Professional | 52 · Reduced service | $7.59 | $7.94 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.16 Typical High $5.01 | Professional | 53 · Discontinued | $3.09 | $3.16 | $5.01 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | None | $19.05 | $21.38 | $21.38 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $37.15 Typical High $104.71 | Facility | None | $19.95 | $37.15 | $104.71 |
Providence Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $38.02 | Professional | None | $14.13 | $18.20 | $38.02 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.72 Typical High $25.70 | Facility | None | $9.12 | $10.72 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $20.42 | Professional | None | $10.72 | $14.45 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | None | $12.30 | $12.30 | $13.18 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 90 · Outside lab | $17.38 | $17.38 | $17.38 |
Where Texas sits
The same service costs 3.1 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· 40th of 51
$20.42
AK $57.54AL $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.