How much rates vary
Facilitymedian $28 · 10th to 90th $14 to $85Professionalmedian $8 · 10th to 90th $5 to $14
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 $8.91 Median $18.20 Typical High $72.44 | Facility | None | $8.91 | $18.20 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $19.05 | Professional | None | $8.51 | $9.33 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $8.71 | Professional | None | $6.76 | $8.71 | $8.71 |
BCBS Texas Setting Facility Modifier None Typical Low $21.38 Median $53.70 Typical High $100.00 | Facility | None | $21.38 | $53.70 | $100.00 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $10.47 | Professional | None | $5.01 | $7.76 | $10.47 |
Christus Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $58.88 | Facility | None | $14.13 | $30.90 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $23.99 | Professional | None | $7.94 | $10.00 | $23.99 |
Health Smart Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Health Smart Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | None | $21.38 | $21.38 | $21.88 |
Lucent Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $128.82 | Facility | None | $10.72 | $20.89 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $16.98 | Professional | None | $8.51 | $12.30 | $16.98 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | None | $10.47 | $11.75 | $11.75 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $58.88 | Facility | None | $11.22 | $20.89 | $58.88 |
Providence Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $20.42 | Professional | None | $7.94 | $10.23 | $20.42 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.89 Typical High $14.13 | Facility | None | $5.13 | $5.89 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $11.48 | Professional | None | $5.89 | $8.13 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | None | $6.92 | $6.92 | $7.24 |
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 $4.68 Median $10.23 Typical High $38.02 | Facility | 52 · Reduced service | $4.68 | $10.23 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $4.07 Typical High $15.14 | Facility | 53 · Discontinued | $1.91 | $4.07 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.68 Typical High $8.51 | Professional | 52 · Reduced service | $4.27 | $4.68 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.86 Typical High $3.39 | Professional | 53 · Discontinued | $1.70 | $1.86 | $3.39 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $5.37 Median $10.23 Typical High $38.02 | Facility | 52 · Reduced service | $5.37 | $10.23 | $38.02 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $4.07 Typical High $15.14 | Facility | 53 · Discontinued | $2.14 | $4.07 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.37 Typical High $6.92 | Professional | 52 · Reduced service | $4.27 | $4.37 | $6.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $2.75 | Professional | 53 · Discontinued | $1.70 | $1.74 | $2.75 |
Where Texas sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 13th of 51
$17.38
VT $70.79NE $9.55
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.