How much rates vary
Facilitymedian $39 · 10th to 90th $21 to $112Professionalmedian $11 · 10th to 90th $5 to $19
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 $13.18 Median $27.54 Typical High $107.15 | Facility | None | $13.18 | $27.54 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $26.92 | Professional | None | $12.59 | $13.80 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $20.89 | Professional | None | $9.33 | $10.96 | $20.89 |
BCBS Texas Setting Facility Modifier None Typical Low $28.84 Median $74.13 Typical High $123.03 | Facility | None | $28.84 | $74.13 | $123.03 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $11.48 Typical High $12.02 | Professional | None | $5.01 | $11.48 | $12.02 |
Christus Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $43.65 Typical High $66.07 | Facility | None | $16.98 | $43.65 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $32.36 | Professional | None | $10.00 | $11.48 | $32.36 |
Health Smart Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Health Smart Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $34.67 | Professional | None | $19.05 | $22.91 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $34.67 | Professional | None | $19.05 | $19.95 | $34.67 |
Moda Health Setting Facility Modifier None Typical Low $15.14 Median $30.20 Typical High $97.72 | Facility | None | $15.14 | $30.20 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $23.99 | Professional | None | $12.59 | $14.45 | $23.99 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | None | $15.85 | $17.78 | $17.78 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $25.12 Typical High $66.07 | Facility | None | $15.14 | $25.12 | $66.07 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $25.70 | Professional | None | $9.77 | $11.48 | $25.70 |
United Setting Facility Modifier None Typical Low $7.59 Median $8.91 Typical High $20.89 | Facility | None | $7.59 | $8.91 | $20.89 |
United Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $13.18 | Professional | None | $8.91 | $8.91 | $13.18 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.96 | Professional | None | $8.51 | $8.51 | $10.96 |
9 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 $7.08 Median $15.14 Typical High $57.54 | Facility | 52 · Reduced service | $7.08 | $15.14 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $6.03 Typical High $22.91 | Facility | 53 · Discontinued | $2.82 | $6.03 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.92 Typical High $12.59 | Professional | 52 · Reduced service | $6.31 | $6.92 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.75 Typical High $5.01 | Professional | 53 · Discontinued | $2.51 | $2.75 | $5.01 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.94 Median $15.14 Typical High $57.54 | Facility | 52 · Reduced service | $7.94 | $15.14 | $57.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $6.03 Typical High $22.91 | Facility | 53 · Discontinued | $3.16 | $6.03 | $22.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.61 Typical High $10.23 | Professional | 52 · Reduced service | $6.31 | $6.61 | $10.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.63 Typical High $4.07 | Professional | 53 · Discontinued | $2.51 | $2.63 | $4.07 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $19.95 Median $20.89 Typical High $25.12 | Professional | 90 · Outside lab | $19.95 | $20.89 | $25.12 |
Where Texas sits
The same service costs 6.6 times more in Vermont 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· 23rd of 51
$20.89
VT $85.11KY $12.88
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.