How much rates vary
Facilitymedian $32 · 10th to 90th $13 to $145Professionalmedian $8 · 10th to 90th $5 to $15
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 $8.51 Median $17.78 Typical High $69.18 | Facility | None | $8.51 | $17.78 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $18.62 | Professional | None | $8.13 | $9.12 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.92 Typical High $11.75 | Professional | None | $6.61 | $6.92 | $11.75 |
BCBS Texas Setting Facility Modifier None Typical Low $15.14 Median $45.71 Typical High $89.13 | Facility | None | $15.14 | $45.71 | $89.13 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $10.96 | Professional | None | $5.01 | $7.59 | $10.96 |
Christus Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $56.23 | Facility | None | $13.80 | $29.51 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $22.91 | Professional | None | $7.76 | $10.47 | $22.91 |
Health Smart Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $25.12 | Facility | None | $20.89 | $25.12 | $25.12 |
Health Smart Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $35.48 | Professional | None | $11.48 | $17.78 | $35.48 |
Lucent Health Setting Professional Modifier None Typical Low $11.48 Median $17.38 Typical High $35.48 | Professional | None | $11.48 | $17.38 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $13.18 Median $112.20 Typical High $186.21 | Facility | None | $13.18 | $112.20 | $186.21 |
Moda Health Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $16.60 | Professional | None | $8.13 | $11.75 | $16.60 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | None | $10.23 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $56.23 | Facility | None | $10.96 | $19.95 | $56.23 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $20.42 | Professional | None | $7.76 | $10.00 | $20.42 |
United Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $36.31 | Facility | None | $4.79 | $5.75 | $36.31 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $11.22 | Professional | None | $5.75 | $7.76 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
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 $4.57 Median $9.77 Typical High $37.15 | Facility | 52 · Reduced service | $4.57 | $9.77 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $3.98 Typical High $14.79 | Facility | 53 · Discontinued | $1.82 | $3.98 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.47 Typical High $8.13 | Professional | 52 · Reduced service | $4.07 | $4.47 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.82 Typical High $3.31 | Professional | 53 · Discontinued | $1.62 | $1.82 | $3.31 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.13 Median $9.77 Typical High $37.15 | Facility | 52 · Reduced service | $5.13 | $9.77 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $3.98 Typical High $14.79 | Facility | 53 · Discontinued | $2.09 | $3.98 | $14.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.27 Typical High $6.61 | Professional | 52 · Reduced service | $4.07 | $4.27 | $6.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.70 Typical High $2.63 | Professional | 53 · Discontinued | $1.62 | $1.70 | $2.63 |
Where Texas sits
The same service costs 9.5 times more in Vermont than in Rhode Island. 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· 33rd of 51
$13.49
VT $97.72RI $10.23
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.