How much rates vary
Facilitymedian $43 · 10th to 90th $15 to $98Professionalmedian $10 · 10th to 90th $5 to $17
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 $24.55 Typical High $85.11 | Facility | None | $11.22 | $24.55 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $20.42 | Professional | None | $10.00 | $11.22 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
BCBS Setting Facility Modifier None Typical Low $23.44 Median $60.26 Typical High $112.20 | Facility | None | $23.44 | $60.26 | $112.20 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $9.33 Typical High $12.59 | Professional | None | $5.01 | $9.33 | $12.59 |
Christus Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $36.31 Typical High $69.18 | Facility | None | $16.98 | $36.31 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $28.18 | Professional | None | $9.55 | $12.02 | $28.18 |
Health Smart Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Health Smart Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Lucent Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $16.98 Typical High $74.13 | Facility | None | $12.59 | $16.98 | $74.13 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $20.42 | Professional | None | $10.23 | $11.22 | $20.42 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | None | $12.59 | $14.13 | $14.13 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $69.18 | Facility | None | $12.59 | $25.12 | $69.18 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $25.12 | Professional | None | $9.55 | $12.02 | $25.12 |
United Setting Facility Modifier None Typical Low $6.03 Median $7.08 Typical High $16.98 | Facility | None | $6.03 | $7.08 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $20.89 | Professional | None | $7.08 | $9.55 | $20.89 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | None | $8.32 | $8.32 | $8.71 |
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 $5.62 Median $12.02 Typical High $45.71 | Facility | 52 · Reduced service | $5.62 | $12.02 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $4.90 Typical High $18.20 | Facility | 53 · Discontinued | $2.24 | $4.90 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.62 Typical High $10.00 | Professional | 52 · Reduced service | $5.01 | $5.62 | $10.00 |
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 $6.31 Median $12.02 Typical High $45.71 | Facility | 52 · Reduced service | $6.31 | $12.02 | $45.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $4.90 Typical High $18.20 | Facility | 53 · Discontinued | $2.57 | $4.90 | $18.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.25 Typical High $7.94 | Professional | 52 · Reduced service | $5.01 | $5.25 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $3.16 | Professional | 53 · Discontinued | $2.04 | $2.09 | $3.16 |
Where Texas sits
The same service costs 18.6 times more in Kansas 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· 27th of 51
$16.98
KS $53.70KY $2.88
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.