How much rates vary
Facilitymedian $17 · 10th to 90th $9 to $51Professionalmedian $5 · 10th to 90th $5 to $9
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 $6.17 Median $13.18 Typical High $50.12 | Facility | None | $6.17 | $13.18 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $6.03 Typical High $10.96 | Professional | None | $5.50 | $6.03 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
BCBS Texas Setting Facility Modifier None Typical Low $14.13 Median $34.67 Typical High $66.07 | Facility | None | $14.13 | $34.67 | $66.07 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $6.61 | Professional | None | $5.01 | $5.25 | $6.61 |
Christus Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $38.02 | Facility | None | $9.33 | $19.95 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $6.61 Typical High $15.14 | Professional | None | $5.13 | $6.61 | $15.14 |
Health Smart Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Health Smart Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | None | $13.80 | $13.80 | $14.13 |
Lucent Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Moda Health Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $46.77 | Facility | None | $6.92 | $9.77 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $5.50 Median $6.03 Typical High $9.12 | Professional | None | $5.50 | $6.03 | $9.12 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $7.76 Typical High $7.76 | Professional | None | $6.92 | $7.76 | $7.76 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $13.49 Typical High $38.02 | Facility | None | $7.41 | $13.49 | $38.02 |
Providence Setting Professional Modifier None Typical Low $5.13 Median $6.61 Typical High $13.80 | Professional | None | $5.13 | $6.61 | $13.80 |
United Setting Facility Modifier None Typical Low $3.31 Median $9.12 Typical High $30.20 | Facility | None | $3.31 | $9.12 | $30.20 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $7.59 | Professional | None | $3.89 | $5.25 | $7.59 |
Wellpoint Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.79 | Professional | None | $4.57 | $4.57 | $4.79 |
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 $3.09 Median $6.61 Typical High $25.12 | Facility | 52 · Reduced service | $3.09 | $6.61 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $2.63 Typical High $10.00 | Facility | 53 · Discontinued | $1.23 | $2.63 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $3.02 Typical High $5.50 | Professional | 52 · Reduced service | $2.75 | $3.02 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.23 Typical High $2.19 | Professional | 53 · Discontinued | $1.12 | $1.23 | $2.19 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.47 Median $6.61 Typical High $25.12 | Facility | 52 · Reduced service | $3.47 | $6.61 | $25.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.38 Median $2.63 Typical High $10.00 | Facility | 53 · Discontinued | $1.38 | $2.63 | $10.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.88 Typical High $4.47 | Professional | 52 · Reduced service | $2.75 | $2.88 | $4.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.15 Typical High $1.78 | Professional | 53 · Discontinued | $1.12 | $1.15 | $1.78 |
Where Texas sits
The same service costs 3.6 times more in Kansas 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· 28th of 51
$9.12
KS $25.12MD $6.92
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.