How much rates vary
Facilitymedian $13 · 10th to 90th $5 to $79Professionalmedian $4 · 10th to 90th $3 to $5
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 $3.09 Median $5.89 Typical High $25.70 | Facility | None | $3.09 | $5.89 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.55 Typical High $6.76 | Professional | None | $3.02 | $3.55 | $6.76 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.51 Typical High $3.47 | Professional | None | $2.24 | $2.51 | $3.47 |
BCBS Texas Setting Facility Modifier None Typical Low $5.62 Median $16.22 Typical High $33.11 | Facility | None | $5.62 | $16.22 | $33.11 |
BCBS Texas Setting Professional Modifier None Typical Low $2.75 Median $5.01 Typical High $5.50 | Professional | None | $2.75 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $4.68 Median $5.01 Typical High $25.12 | Facility | None | $4.68 | $5.01 | $25.12 |
Christus Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.96 Typical High $21.38 | Facility | None | $5.01 | $10.96 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $8.13 | Professional | None | $2.75 | $3.80 | $8.13 |
Health Smart Setting Facility Modifier None Typical Low $7.76 Median $9.55 Typical High $9.55 | Facility | None | $7.76 | $9.55 | $9.55 |
Health Smart Setting Professional Modifier None Typical Low $4.37 Median $6.46 Typical High $9.55 | Professional | None | $4.37 | $6.46 | $9.55 |
Lucent Health Setting Professional Modifier None Typical Low $4.37 Median $6.46 Typical High $9.55 | Professional | None | $4.37 | $6.46 | $9.55 |
Moda Health Setting Facility Modifier None Typical Low $5.01 Median $57.54 Typical High $125.89 | Facility | None | $5.01 | $57.54 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $6.03 | Professional | None | $3.02 | $4.37 | $6.03 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $7.41 Typical High $21.38 | Facility | None | $4.07 | $7.41 | $21.38 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $3.72 Typical High $7.59 | Professional | None | $2.75 | $3.72 | $7.59 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $5.01 | Facility | None | $1.58 | $1.58 | $5.01 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $4.07 | Professional | None | $2.09 | $2.88 | $4.07 |
Wellpoint Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.57 | Professional | None | $2.45 | $2.45 | $2.57 |
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 $1.70 Median $3.63 Typical High $13.49 | Facility | 52 · Reduced service | $1.70 | $3.63 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.68 | $1.45 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.66 Typical High $3.02 | Professional | 52 · Reduced service | $1.51 | $1.66 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.66 Typical High $1.20 | Professional | 53 · Discontinued | $0.60 | $0.66 | $1.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.91 Median $3.63 Typical High $13.49 | Facility | 52 · Reduced service | $1.91 | $3.63 | $13.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.76 Median $1.45 Typical High $5.50 | Facility | 53 · Discontinued | $0.76 | $1.45 | $5.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.55 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $1.55 | $2.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.62 Typical High $0.98 | Professional | 53 · Discontinued | $0.60 | $0.62 | $0.98 |
Where Texas sits
The same service costs 8.9 times more in Vermont 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· 25th of 51
$5.50
VT $33.88MD $3.80
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.