How much rates vary
Facilitymedian $38 · 10th to 90th $19 to $126Professionalmedian $11 · 10th to 90th $5 to $21
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 $11.75 Median $22.91 Typical High $95.50 | Facility | None | $11.75 | $22.91 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $25.12 | Professional | None | $11.48 | $12.59 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.55 Typical High $13.18 | Professional | None | $9.12 | $9.55 | $13.18 |
BCBS Setting Facility Modifier None Typical Low $22.91 Median $66.07 Typical High $125.89 | Facility | None | $22.91 | $66.07 | $125.89 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $10.47 Typical High $19.05 | Professional | None | $5.01 | $10.47 | $19.05 |
Christus Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $40.74 Typical High $79.43 | Facility | None | $19.05 | $40.74 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $33.11 | Professional | None | $10.72 | $14.79 | $33.11 |
Health Smart Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Health Smart Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $28.84 | Professional | None | $16.98 | $18.20 | $28.84 |
Lucent Health Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $31.62 | Professional | None | $16.98 | $18.20 | $31.62 |
Moda Health Setting Facility Modifier None Typical Low $15.85 Median $85.11 Typical High $257.04 | Facility | None | $15.85 | $85.11 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $22.91 | Professional | None | $11.48 | $15.85 | $22.91 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | None | $14.13 | $15.85 | $15.85 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $28.18 Typical High $79.43 | Facility | None | $15.14 | $28.18 | $79.43 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $33.11 | Professional | None | $10.72 | $14.79 | $33.11 |
United Setting Facility Modifier None Typical Low $6.76 Median $7.94 Typical High $19.05 | Facility | None | $6.76 | $7.94 | $19.05 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $15.49 | Professional | None | $7.94 | $10.96 | $15.49 |
Wellpoint Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | None | $9.33 | $9.33 | $9.77 |
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 $6.31 Median $13.80 Typical High $51.29 | Facility | 52 · Reduced service | $6.31 | $13.80 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $5.50 Typical High $20.42 | Facility | 53 · Discontinued | $2.51 | $5.50 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $6.31 Typical High $11.48 | Professional | 52 · Reduced service | $5.75 | $6.31 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.51 Typical High $4.57 | Professional | 53 · Discontinued | $2.29 | $2.51 | $4.57 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.08 Median $13.80 Typical High $51.29 | Facility | 52 · Reduced service | $7.08 | $13.80 | $51.29 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $5.50 Typical High $20.42 | Facility | 53 · Discontinued | $2.88 | $5.50 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.89 Typical High $9.12 | Professional | 52 · Reduced service | $5.75 | $5.89 | $9.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $3.72 | Professional | 53 · Discontinued | $2.29 | $2.34 | $3.72 |
Where Texas sits
The same service costs 5.0 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· 15th of 51
$25.70
VT $70.79MD $14.13
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.