How much rates vary
Facilitymedian $25 · 10th to 90th $12 to $85Professionalmedian $7 · 10th to 90th $5 to $12
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 $8.13 Median $16.98 Typical High $63.10 | Facility | None | $8.13 | $16.98 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $14.79 | Professional | None | $7.41 | $8.13 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.51 | Professional | None | $7.59 | $7.59 | $8.51 |
BCBS Texas Setting Facility Modifier None Typical Low $15.14 Median $42.66 Typical High $83.18 | Facility | None | $15.14 | $42.66 | $83.18 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $6.76 Typical High $12.30 | Professional | None | $5.01 | $6.76 | $12.30 |
Baylor Scott & White Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $81.28 | Facility | None | $11.75 | $17.78 | $81.28 |
Christus Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $51.29 | Facility | None | $12.30 | $26.92 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $20.42 | Professional | None | $6.92 | $8.91 | $20.42 |
Health Smart Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Health Smart Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | None | $18.62 | $18.62 | $19.05 |
Lucent Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Moda Health Setting Facility Modifier None Typical Low $10.23 Median $63.10 Typical High $158.49 | Facility | None | $10.23 | $63.10 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $14.45 | Professional | None | $7.41 | $8.13 | $14.45 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | None | $9.33 | $10.23 | $10.23 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $18.20 Typical High $51.29 | Facility | None | $9.77 | $18.20 | $51.29 |
Providence Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $18.62 | Professional | None | $6.92 | $8.91 | $18.62 |
United Setting Facility Modifier None Typical Low $4.47 Median $12.30 Typical High $36.31 | Facility | None | $4.47 | $12.30 | $36.31 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $10.00 | Professional | None | $5.13 | $7.08 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.31 | Professional | None | $6.03 | $6.03 | $6.31 |
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 $4.17 Median $8.91 Typical High $33.11 | Facility | 52 · Reduced service | $4.17 | $8.91 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.66 Median $3.55 Typical High $13.18 | Facility | 53 · Discontinued | $1.66 | $3.55 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $4.07 Typical High $7.41 | Professional | 52 · Reduced service | $3.72 | $4.07 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.62 Typical High $2.95 | Professional | 53 · Discontinued | $1.48 | $1.62 | $2.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $4.68 Median $8.91 Typical High $33.11 | Facility | 52 · Reduced service | $4.68 | $8.91 | $33.11 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $3.55 Typical High $13.18 | Facility | 53 · Discontinued | $1.86 | $3.55 | $13.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.80 Typical High $6.03 | Professional | 52 · Reduced service | $3.72 | $3.80 | $6.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.51 Typical High $2.40 | Professional | 53 · Discontinued | $1.48 | $1.51 | $2.40 |
Where Texas sits
The same service costs 5.6 times more in Alaska 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· 8th of 51
$17.78
AK $33.88GA $6.03
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.