How much rates vary
Facilitymedian $48 · 10th to 90th $18 to $110Professionalmedian $10 · 10th to 90th $5 to $18
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 $12.02 Median $26.30 Typical High $97.72 | Facility | None | $12.02 | $26.30 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $21.88 | Professional | None | $10.96 | $12.02 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | None | $10.96 | $10.96 | $12.59 |
BCBS Texas Setting Facility Modifier None Typical Low $27.54 Median $67.61 Typical High $125.89 | Facility | None | $27.54 | $67.61 | $125.89 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $12.02 | Professional | None | $5.01 | $10.00 | $12.02 |
Christus Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $38.90 Typical High $74.13 | Facility | None | $18.20 | $38.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $30.20 | Professional | None | $10.23 | $12.88 | $30.20 |
Health Smart Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Health Smart Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $19.05 Typical High $79.43 | Facility | None | $13.80 | $19.05 | $79.43 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $21.88 | Professional | None | $10.96 | $12.02 | $21.88 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | None | $13.49 | $15.14 | $15.14 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $74.13 | Facility | None | $14.45 | $26.30 | $74.13 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $26.92 | Professional | None | $10.23 | $12.88 | $26.92 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.59 Typical High $18.20 | Facility | None | $6.46 | $7.59 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $25.12 | Professional | None | $7.59 | $10.23 | $25.12 |
Wellpoint Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | None | $8.91 | $8.91 | $9.33 |
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 $6.03 Median $12.88 Typical High $48.98 | Facility | 52 · Reduced service | $6.03 | $12.88 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $5.25 Typical High $19.50 | Facility | 53 · Discontinued | $2.40 | $5.25 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $6.03 Typical High $10.96 | Professional | 52 · Reduced service | $5.37 | $6.03 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.40 Typical High $4.37 | Professional | 53 · Discontinued | $2.19 | $2.40 | $4.37 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $12.88 Typical High $48.98 | Facility | 52 · Reduced service | $6.76 | $12.88 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $5.25 Typical High $19.50 | Facility | 53 · Discontinued | $2.75 | $5.25 | $19.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.62 Typical High $8.71 | Professional | 52 · Reduced service | $5.37 | $5.62 | $8.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.19 | $2.24 | $3.47 |
Where Texas sits
The same service costs 8.3 times more in Kansas than in Georgia. 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
$18.20
KS $74.13GA $8.91
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.