How much rates vary
Facilitymedian $35 · 10th to 90th $17 to $100Professionalmedian $10 · 10th to 90th $5 to $16
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 $11.22 Median $23.99 Typical High $87.10 | Facility | None | $11.22 | $23.99 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $20.42 | Professional | None | $10.23 | $11.22 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $16.98 | Professional | None | $10.23 | $10.47 | $16.98 |
BCBS Texas Setting Facility Modifier None Typical Low $26.30 Median $63.10 Typical High $114.82 | Facility | None | $26.30 | $63.10 | $114.82 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $9.33 Typical High $13.80 | Professional | None | $5.01 | $9.33 | $13.80 |
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 $17.38 Median $37.15 Typical High $70.79 | Facility | None | $17.38 | $37.15 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $28.84 | Professional | None | $9.77 | $12.30 | $28.84 |
Health Smart Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Health Smart Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Lucent Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $57.54 Typical High $144.54 | Facility | None | $13.80 | $57.54 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $16.98 | Professional | None | $10.23 | $12.88 | $16.98 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $14.45 | Professional | None | $12.88 | $14.45 | $14.45 |
Providence Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $70.79 | Facility | None | $13.49 | $25.12 | $70.79 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $25.70 | Professional | None | $9.77 | $12.30 | $25.70 |
United Setting Facility Modifier None Typical Low $6.17 Median $7.24 Typical High $16.98 | Facility | None | $6.17 | $7.24 | $16.98 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $14.13 | Professional | None | $7.24 | $9.77 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.91 | Professional | None | $8.51 | $8.51 | $8.91 |
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 $5.75 Median $12.30 Typical High $46.77 | Facility | 52 · Reduced service | $5.75 | $12.30 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $4.90 Typical High $18.62 | Facility | 53 · Discontinued | $2.29 | $4.90 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.62 Typical High $10.23 | Professional | 52 · Reduced service | $5.13 | $5.62 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.24 Typical High $4.07 | Professional | 53 · Discontinued | $2.04 | $2.24 | $4.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $12.30 Typical High $46.77 | Facility | 52 · Reduced service | $6.46 | $12.30 | $46.77 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $4.90 Typical High $18.62 | Facility | 53 · Discontinued | $2.57 | $4.90 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.37 Typical High $8.32 | Professional | 52 · Reduced service | $5.13 | $5.37 | $8.32 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.14 Typical High $3.31 | Professional | 53 · Discontinued | $2.04 | $2.14 | $3.31 |
Moda Health Setting Professional Modifier 90 · Outside lab Typical Low $11.75 Median $16.22 Typical High $16.98 | Professional | 90 · Outside lab | $11.75 | $16.22 | $16.98 |
Where Texas sits
The same service costs 4.2 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· 8th of 51
$25.70
KS $53.70MD $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.